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Individual

DR. HERMENEGILDO G ANGELES JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD APC

Contact information

Practice address
1850 SULLIVAN AVE, SUITE #310, DALY CITY, CA 94015-2221
(650) 755-3939
(650) 755-3883
Mailing address
1850 SULLIVAN AVE, SUITE #310, DALY CITY, CA 94015-2221
(650) 755-3939
(650) 755-3883

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A066103
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CT957Z
MEDICARE PTAN
CA
Enumeration date
03/08/2006
Last updated
04/04/2025
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