Organization
LOVE, ANGELA M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA M LOVE RMA,BS, MBA PARTIAL (OWNER/MANAGER)
(909) 231-8743
Entity
Organization
Contact information
Practice address
8816 FOOTHILL BLVD # 103-238, RANCHO CUCAMONGA, CA 91730-7199
(909) 231-8743
Mailing address
8816 FOOTHILL BLVD # 103-238, RANCHO CUCAMONGA, CA 91730-7199
(909) 231-8743
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207SC0300X
—
CA
01
—
247ZC0005X
BUPA
CA
05
—
247ZC0005X
—
CA
01
—
291U00000X
MEDICARE
CA
Enumeration date
09/21/2015
Last updated
09/21/2015
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