Individual
ADA ANGELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15210 PARTHENIA, NORTH HILLS, CA 91343
(818) 895-3100
Mailing address
11371 GAYNOR AVE, GRANADA HILLS, CA 91344-3916
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
870465
CA
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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