Individual
ANGELLE DESIREE LABEAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A109428
CA
2080P0208X
Pediatric Infectious Diseases Physician
35-082660
OH
2080P0208X
Pediatric Infectious Diseases Physician
Primary
A109428
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221433
UNISON
OH
01
—
000000301708
ANTHEM
OH
01
—
000000526039
ANTHEM
OH
01
—
1011218090001
PA MEDICAID
PA
01
—
2502438
BCMH
OH
05
—
2502438
—
OH
01
—
363730
WELLCARE
OH
01
—
7233496
AETNA
OH
01
—
745932
BUCKEYE
OH
01
—
9200336
UNITED HEALTHCARE
OH
Enumeration date
07/02/2006
Last updated
04/12/2024
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