Provider Demographics
NPI:1962985051
Name:MCGLONE, CESILEY ANN (RN)
Entity type:Individual
Prefix:
First Name:CESILEY
Middle Name:ANN
Last Name:MCGLONE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3580 WILSHIRE BLVD STE 1000
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-2544
Mailing Address - Country:US
Mailing Address - Phone:213-296-3758
Mailing Address - Fax:855-245-8903
Practice Address - Street 1:1880 CENTURY PARK E STE 711
Practice Address - Street 2:
Practice Address - City:CENTURY CITY
Practice Address - State:CA
Practice Address - Zip Code:90067-1618
Practice Address - Country:US
Practice Address - Phone:213-296-3758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-13
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA741991163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse