Individual
ANGELA DOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1223 16TH ST STE 3100, SANTA MONICA, CA 90404-1275
(916) 221-1792
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95009568
CA
Other
Enumeration date
03/16/2019
Last updated
02/18/2022
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