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Individual

ANGELITA MARQUINEZ PALANCA-CAPISTRANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
720 MAGNOLIA AVE, SUITE A-4, CORONA, CA 92879-3119
(951) 372-9227
(951) 372-9005
Mailing address
19069 VAN BUREN BLVD STE 114-219, RIVERSIDE, CA 92508-9169
(951) 372-9227
(951) 372-9005

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A91568
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1585438
CA
01
A91568
MEDICAL BOARD OF CA LICEN
CA
Enumeration date
04/10/2006
Last updated
03/07/2023
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