Individual
DR. ANGEL GEORGE ANGELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1499 W 1ST ST, SAN PEDRO, CA 90732-3255
(310) 241-2590
Mailing address
1499 W 1ST ST, SAN PEDRO, CA 90732-3255
(310) 241-2590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A49125
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A491250
—
CA
Enumeration date
05/25/2006
Last updated
03/07/2023
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