Ada Angeles, | |
15210 Parthenia, North Hills, CA 91343 | |
(818) 895-3100 | |
Not Available |
Full Name | Ada Angeles |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 15210 Parthenia, North Hills, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1386001519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 870465 (California) | Primary |
Provider Name | Mission City Community Network, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710102009 PECOS PAC ID: 1658264684 Enrollment ID: O20040204000544 |
Mailing Address | Practice Location Address |
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Ada Angeles, 11371 Gaynor Ave, Granada Hills, CA 91344-3916 Ph: () - | Ada Angeles, 15210 Parthenia, North Hills, CA 91343 Ph: (818) 895-3100 |
Jennifer Anne White, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16111 Plummer St, North Hills, CA 91343 Phone: 818-891-7711 | |
Ms. Carissa Berger, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16010 Tupper St, North Hills, CA 91343 Phone: 310-623-2687 | |
Elisa Ubben Urbano, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15206 Parthenia St, North Hills, CA 91343 Phone: 818-895-3100 Fax: 818-893-9464 |