Organization
ANGEL FULLERTON MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARDO CANCHOLA MD (MEDICAL DIRECTOR)
(714) 662-7710
Entity
Organization
Contact information
Practice address
1125 W ORANGETHORPE AVE, FULLERTON, CA 92833-4735
(714) 870-1888
Mailing address
1125 W ORANGETHORPE AVE, FULLERTON, CA 92833-4735
(714) 870-1888
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639185879
GENERAL PRACTICE
CA
01
—
1720399843
GENERAL PRACTICE
CA
Enumeration date
10/06/2020
Last updated
10/06/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us