Henderson, Angela
Henderson, Angela is an individual health care provider with primary practice located at 2700 S Figueroa St , Los Angeles CA 90007-3255. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Henderson, Angela can be contacted via phone (213) 743-9050.Contact Information
Primary practice address
2700 S Figueroa St
Los Angeles CA 90007-3255
Phone: (213) 743-9050
Fax: (213) 747-7768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 488134 | California |
Profile Details
| NPI number | 1366583924 |
|---|---|
| LBN Legal business name | Henderson, Angela |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366583924 | NPPES |
| California | Other | GR0095860 | MEDICAL GROUP NUMBER |
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