Angel Fullerton Medical Group

LBN: Angel Fullerton Medical Group
Angel Fullerton Medical Group is an health care organization with primary practice located at 1125 W Orangethorpe Ave , Fullerton CA 92833-4735. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Angel Fullerton Medical Group can be contacted via phone (714) 870-1888, or through Canchola, Gerardo via phone (714) 662-7710.

Contact Information

Primary practice address
1125 W Orangethorpe Ave Fullerton CA 92833-4735
Phone: (714) 870-1888
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Canchola, Gerardo Doctor of Medicine (MD)
Phone: (714) 662-7710

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1689271389
LBN Legal business name Angel Fullerton Medical Group
DBA Doing business as
Authorized official Canchola, Gerardo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2020
Last updated Oct 6th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689271389 NPPES
California Other 1639185879 GENERAL PRACTICE
California Other 1720399843 GENERAL PRACTICE

Popular Providers