Individual
ANGEL HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21707 HAWTHORNE BLVD, TORRANCE, CA 90503-7009
(310) 543-9900
Mailing address
21707 HAWTHORNE BLVD, TORRANCE, CA 90503-7009
(310) 543-9900
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/04/2017
Last updated
09/28/2022
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