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Individual

ANGELINE YATAR ITURIAGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
515 S BEACH BLVD, SUITE I, ANAHEIM, CA 92804-1812
(714) 952-4147
(714) 952-2620
Mailing address
515 S BEACH BLVD, SUITE I, ANAHEIM, CA 92804-1812
(714) 952-4147
(714) 952-2620

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A30865
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A308650
MEDICAL
CA
Enumeration date
07/30/2006
Last updated
07/08/2007
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