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Organization

HERMENEGILDO G ANGELES JR MD APC

Active
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Organization

HERMENEGILDO G ANGELES JR MD APC

Active
Other names
HERMENGILDO ANGELES JR MD APC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HERMENEGILDO G ANGELES JR. MD. APC (PHYSICIAN OWNER)
(650) 270-0065
Entity
Organization

Contact information

Practice address
1850 SULLIVAN AVENUE, SUITE 310, DALU CITY, CA 94015
(650) 755-3939
(650) 755-3883
Mailing address
1850 SULLIVAN AVE, SUITE #310, DALY CITY, CA 94015-2221
(650) 755-3939
(650) 755-3883

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A066103
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CT956A
MEDICARE PTAN NUMBER
CA
Enumeration date
01/09/2007
Last updated
06/18/2015
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