King-Angell, Joan Lucile
King-Angell, Joan Lucile is an sole proprietor health care provider with primary practice located at 3260 Sacramento St Over 60 Clinic, Berkeley CA 94702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. King-Angell, Joan Lucile can be contacted via phone (510) 274-8996.Contact Information
Primary practice address
3260 Sacramento St Over 60 Clinic
Berkeley CA 94702
Phone: (510) 274-8996
Fax: (510) 981-4191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | G58410 | California |
Profile Details
| NPI number | 1578641346 |
|---|---|
| LBN Legal business name | King-Angell, Joan Lucile |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Sep 12th, 2014 - about 11 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 | 1578641346 | NPPES |
| California | MEDICAID | 00G584100 |
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