Individual
DR. ANGELO NICHOLAS HEROPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1141 ROSE AVE, SELMA, CA 93662-3241
(559) 891-6244
Mailing address
157 HILLSIDE AVE, MENLO PARK, CA 94025-6537
(650) 854-1833
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A048718
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A487180
—
CA
Enumeration date
02/09/2007
Last updated
02/04/2008
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