Organization
ANGEL HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLUWAREMILEKUN O. DIMOWO (PARTNER)
(626) 201-6466
Entity
Organization
Contact information
Practice address
218 E ANAHEIM ST, WILMINGTON, CA 90744-4516
(310) 518-5312
Mailing address
1260 PIERRE RD, WALNUT, CA 91789-1934
(951) 966-6626
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
00000000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000
—
CA
Enumeration date
08/17/2012
Last updated
08/17/2012
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