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Organization
ANGEL MEDICAL CLINIC
Active
Organization
ANGEL MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARDO CANCHOLA MD (MEDICAL DIRECTOR / OWNER)
(714) 521-8609
Entity
Organization
Contact information
Practice address
8551 LA PALMA AVE, SUITE A, BUENA PARK, CA 90620-2278
(714) 521-8609
Mailing address
8551 LA PALMA AVE, SUITE A, BUENA PARK, CA 90620-2278
(714) 521-8609
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/20/2014
Last updated
04/03/2015
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