Individual
ANGIE GOROSPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2701 CALLOWAY DR, # 400, BAKERSFIELD, CA 93312-2621
(661) 589-9066
(661) 589-4209
Mailing address
1201 23RD ST, BAKERSFIELD, CA 93301-2306
(661) 327-4357
(661) 327-2311
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT32659
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT326590
MEDICARE PTAN
CA
01
—
P00711450
RAILROAD MEDICARE PTAN
CA
01
—
ZZZ21295Z
MEDICARE GROUP PTAN
CA
Enumeration date
01/25/2007
Last updated
02/15/2010
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