Individual
ANGELES SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 WILLIAMS DR STE 150, OXNARD, CA 93036-2612
(805) 981-8476
Mailing address
1911 WILLIAMS DR STE 150, OXNARD, CA 93036-2612
(805) 981-8476
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
06/04/2025
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