| Angela M Colombo, Md Inc | |
|
20072 Sw Birch St Ste 190 Newport Beach CA 92660-0799 | |
| (949) 354-4161 | |
| (833) 667-0260 |
| Full Name | Angela M Colombo, Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 20072 Sw Birch St Ste 190, Newport Beach, California |
| Authorized Official Name and Position | Angela M. Colombo (CEO) |
| Authorized Official Contact | 9493544161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela M Colombo, Md Inc 27762 Antonio Pkwy Ste 325 Ladera Ranch CA 92694-1140 Ph: (949) 235-7735 | Angela M Colombo, Md Inc 20072 Sw Birch St Ste 190 Newport Beach CA 92660-0799 Ph: (949) 354-4161 |
| NPI Number | 1437887395 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 10/25/2023 |
| Medicare PECOS PAC ID | 5193199255 |
|---|---|
| Medicare Enrollment ID | O20230418000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437887395 | NPI | - | NPPES |
| 1104474634 | Medicaid | CA | |
| 1164931341 | Medicaid | CA | |
| 1891974960 | Medicaid | CA | |
| 1780818971 | Medicaid | CA |
| Provider Name | Angela Colombo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891974960 PECOS PAC ID: 5496907370 Enrollment ID: I20121129000359 |
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