Organization
ANGELO C ARCILLA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELO ARCILLA MD (PRESIDENT)
(650) 994-0459
Entity
Organization
Contact information
Practice address
1800 SULLIVAN AVE, STE. 101, DALY CITY, CA 94015-2228
(650) 994-0459
Mailing address
1800 SULLIVAN AVE, STE. 101, DALY CITY, CA 94015-2228
(650) 994-0459
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A485572
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A485572
—
CA
Enumeration date
02/16/2007
Last updated
04/15/2010
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