Organization
ANGELICUM HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAZEL ANN ASUNCION HERNANDEZ (PRESIDENT/ADMINISTRATOR/CEO)
(858) 495-0400
Entity
Organization
Contact information
Practice address
3914 MURPHY CANYON RD STE A166, SAN DIEGO, CA 92123-4415
(858) 495-0400
(858) 496-9200
Mailing address
3914 MURPHY CANYON RD STE A166, SAN DIEGO, CA 92123-4415
(858) 495-0400
(858) 496-9200
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550003335
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C3624597
—
CA
Enumeration date
08/11/2014
Last updated
09/06/2023
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