Angotta, Chad Joseph

Angotta, Chad Joseph is an individual health care provider with primary practice located at 17452 Irvine Blvd Suite #214, Tustin CA 92780-3031. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Angotta, Chad Joseph can be contacted via phone (714) 731-6111.

Contact Information

Primary practice address
17452 Irvine Blvd Suite #214 Tustin CA 92780-3031
Phone: (714) 731-6111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC18168 California

Profile Details

NPI number 1134101611
LBN Legal business name Angotta, Chad Joseph
Credentials M.A., M.F.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134101611 NPPES
California Other MFC18168 LICENSE NUMBER

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