DR. ANGEL GEORGE ANGELOW (NPI# 1598711319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598711319 |
| Entity Type | Individual |
| Full Name | DR. ANGEL GEORGE ANGELOW |
| Credential | M.D. |
| Practice Address |
1499 W 1st St San Pedro CA 90732-3255 |
| Practice Telephone | 3102412590 |
| Mailing Telephone | 3102412590 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2013-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A49125 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A491250 | 05 | |
| CA | DEA NUMBER | BA2616374 | 01 |
| Street Address |
1499 W 1ST ST |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90732-3255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336752542 | Jonathan Finley | Nurse Practitioner | 1499 W 1st St, San Pedro, CA 90732-3255 | 2020-08-27 |
| 1124227772 | Issa M Botros | Family Medicine | 1499 W 1st St, San Pedro, CA 90732-3255 | 2007-07-13 |
| 1437375268 | Susana Herrera Ovalle | Family Medicine | 1499 W 1st St, San Pedro, CA 90732-3255 | 2007-04-18 |
| 1043348436 | Lawrence Bruce Greenberg | Family Medicine | 1499 W 1st St, San Pedro, CA 90732-3255 | 2007-02-28 |
| 1144336769 | Crescenzo Pisano | Internal Medicine | 1499 W 1st St, San Pedro, CA 90732-3255 | 2006-08-23 |
| 1386667723 | Olga M. Calof | Internal Medicine | 1499 W 1st St, San Pedro, CA 90732-3255 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771241 | Alicia Avila | Student in an Organized Health Care Education/Training Program | 2227 Blue Butterfly Way, #7, San Pedro, CA 90732 | 2020-08-24 |
| 1619500543 | Udana Harris | Registered Nurse | 1300 West 7th Street, Obhc Unit, San Pedro, CA 90732 | 2020-02-19 |
| 1861042301 | Patricia Elaine Moses | Technician | 106 N. Western Ave Unit 102, San Pedro, CA 90732 | 2019-09-17 |
| 1629627393 | Antonio Ramon Martinez | Technician | 3141 Blue Butterfly Unit 66, San Pedro, CA 90732 | 2019-09-05 |
| 1487207700 | Victoria A. Shook, D.d.s., A Professional Corp. | Dentist | 28138 S. Western Ave., San Pedro, CA 90732 | 2019-07-17 |
| 1144566563 | Shaun E Chandran M D Inc | Orthopaedic Surgery | 1360 W 6th Street, Suite 305, San Pedro, CA 90732 | 2012-12-13 |
| 1316281280 | Jenny Luong | Physician Assistant | 1534 W. 25th St, San Pedro, CA 90732 | 2012-11-16 |
| 1033429519 | Eric M Feit Dpm Inc | Podiatrist | 1360 West 6th St., Suite 240, San Pedro, CA 90732 | 2010-10-18 |
| 1386808673 | Meysam Zaker | Dentist | 2470 S. Western Ave, San Pedro, Ca, CA 90732 | 2008-07-15 |
| 1376735340 | Francisco J. Correa, M.d., Inc | General Practice | 1350 W. 6th St, #3, San Pedro, CA 90732 | 2007-08-14 |
| Find all providers in zip 90732 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841603586 | Ali Ahmad Medical Corp | Family Medicine | 350 W 5th St Ste 105, San Pedro, CA 90731-2751 | 2014-06-10 |
| 1922351303 | Medical Plaza of San Pedro Inc. | Family Medicine | 529 W 7th St, San Pedro, CA 90731-3115 | 2012-10-22 |
| 1700958667 | Phillip Edward Schoenwetter | Family Medicine | 787 W 9th St, San Pedro, CA 90731-3601 | 2006-11-15 |
| 1245321272 | David H Smith | Family Medicine | 1360 W 6th St Ste D, San Pedro, CA 90732-3554 | 2006-09-27 |
| 1629078969 | Allan I Larner | Family Medicine | 921 S Beacon St, San Pedro, CA 90731-3740 | 2005-07-28 |
| 1831660588 | Krupa Shah Md, A Professional Corporation | Family Medicine | 1294 W 6th St Ste 204, San Pedro, CA 90731-2998 | 2018-12-06 |
| 1114474350 | Shanna Lee Darling | Family Medicine | 1350 W 6th St, San Pedro, CA 90732-3544 | 2016-09-06 |
| 1760835086 | Dr. Gregory A. Smith, Md Inc. | Family Medicine | 715 S Averill Ave, San Pedro, CA 90732-3813 | 2016-07-21 |
| 1326396664 | Nathaniel Leong | Family Medicine | 1300 W 7th St, San Pedro, CA 90732-3505 | 2012-08-16 |
| 1316248313 | Peter D. Sliskovich, Md, Inc. | Family Medicine | 1360 W 6th St, Suite 120 West Building, San Pedro, CA 90732-3514 | 2010-11-06 |
| Find all providers in SAN PEDRO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.