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Individual

BARBARA ANN KANGAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
22 ODYSSEY STE 155, IRVINE, CA 92618-3194
(949) 207-7650
(949) 625-6135
Mailing address
22 ODYSSEY STE 155, IRVINE, CA 92618-3194
(949) 207-7650
(949) 625-6135

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20785
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
FS634A
MEDICARE GROUP PTAN
CA
Enumeration date
03/21/2011
Last updated
07/09/2015
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