Angela Dawn Eastvold, PHD is a
Clinical Neuropsychologist based in Cardiff By The Sea, California. Angela Dawn Eastvold is licensed to practice in California (license number CA-29589) and her current practice location is
120 Birmingham Dr Ste 110a, Cardiff By The Sea, California. She can be reached at her office (for appointments etc.) via phone at
(760) 420-2640.
NPI number for Angela Dawn Eastvold is 1659652717 and her current mailing address is 120 Birmingham Dr Ste 110a, Cardiff By The Sea, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659652717.
Healthcare Provider's Profile
| Full Name | Angela Dawn Eastvold |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 120 Birmingham Dr Ste 110a, Cardiff By The Sea, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659652717
- Provider Enumeration Date: 09/02/2011
- Last Update Date: 06/07/2022
Medical Identifiers
Medical identifiers for Angela Dawn Eastvold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659652717 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 80249832501 (Utah) | Secondary |
| 103G00000X | Clinical Neuropsychologist | CA-29589 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Dawn Eastvold is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Angela Dawn Eastvold, PHD
120 Birmingham Dr Ste 110a,
Cardiff By The Sea, CA 92007-1737
Ph: (760) 420-2640 | Angela Dawn Eastvold, PHD
120 Birmingham Dr Ste 110a,
Cardiff By The Sea, CA 92007-1737
Ph: (760) 420-2640 |
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