Organization
ANGELA INGENDAAY, M.D., PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA I INGENDAAY MD (PRESIDENT)
(530) 272-0537
Entity
Organization
Contact information
Practice address
150 S AUBURN STREET, GRASS VALLEY, CA 95945
(530) 272-0537
(530) 692-2053
Mailing address
150 S AUBURN STREET, GRASS VALLEY, CA 95945
(530) 272-0537
(530) 692-2053
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A52909
CA
261QP2300X
Primary Care Clinic/Center
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—
Other
Enumeration date
11/21/2006
Last updated
02/08/2021
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