Individual
ANGELA C SIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806
(562) 933-1550
Mailing address
DEPT LA 21749, PASADENA, CA 91185-1749
(949) 263-8620
(949) 263-1639
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G72125
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G721250
BS
CA
05
—
00G721250
—
CA
Enumeration date
11/18/2005
Last updated
12/12/2007
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