# ANGELA I INGENDAAY M D PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770188252
- **Authorized official:** DR. ANGELA I INGENDAAY M.D. (CEO/MD)
- **Authorized official phone:** (530) 559-1342

## Contact information

- **Practice address:** 150 S AUBURN ST, GRASS VALLEY, CA 95945-6576
- **Practice address phone:** (530) 559-1342
- **Practice address fax:** (530) 692-7020
- **Mailing address:** PO BOX 856, OREGON HOUSE, CA 95962-0856
- **Mailing address phone:** (530) 559-1342
- **Mailing address fax:** (530) 692-7020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2020
- **Last updated:** 06/09/2026