Iacovino, Angela Cerice

Iacovino, Angela Cerice is an sole proprietor health care provider with primary practice located at 901 Dover Dr Suite 234, Newport Beach CA 92660-5538. She recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Nutrition, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is her primary health care specialty. Iacovino, Angela Cerice can be contacted via phone (949) 642-8193.

Contact Information

Primary practice address
901 Dover Dr Suite 234 Newport Beach CA 92660-5538
Phone: (949) 642-8193
Fax: (949) 325-0817
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC26556 California
Chiropractic Providers / Nutrition 111NN1001X DC26556 California
Chiropractic Providers / Sports Physician 111NS0005X DC26556 California

Profile Details

NPI number 1275635575
LBN Legal business name Iacovino, Angela Cerice
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2006
Last updated Mar 17th, 2016 - about 9 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 1275635575 NPPES
California Other DC26556 COMMERCIAL
California MEDICAID DC26556 COMMERCIAL
California Other DC26556 COMMERCIAL
California Other DC26556 COMMERCIAL
California Other DC26556 COMMERCIAL
California Other DC0265560 COMMERCIAL

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