Individual
LUIS G ANGULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
445 COOLIDGE DR, SAN GABRIEL, CA 91775-2209
(626) 825-2067
Mailing address
445 COOLIDGE DR, SAN GABRIEL, CA 91775-2209
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
810072
CA
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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