Individual
ANGELA MONIQUE-VICTORIA LYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
3132 JEFFERSON ST, SAN DIEGO, CA 92110-4421
(619) 683-3100
Mailing address
3132 JEFFERSON ST, SAN DIEGO, CA 92110-4421
(619) 683-3100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
128515
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
02/24/2020
Last updated
04/28/2026
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