Individual
ANGELI D SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11100 WARNER AVE STE 368, FOUNTAIN VALLEY, CA 92708-7514
(714) 241-1777
Mailing address
11122 RANGER DR, LOS ALAMITOS, CA 90720-2649
(270) 836-1737
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
29114
KY
208000000X
Pediatrics Physician
Primary
C148727
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000108207
BCBS
—
05
—
64291149
—
KY
Enumeration date
04/26/2006
Last updated
01/11/2019
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