AMY ANGULO (NPI# 1831580638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831580638 |
| Entity Type | Individual |
| Full Name | AMY ANGULO |
| Credential | LMT, LPN |
| Practice Address |
23494 Schooner Dr Canyon Lake CA 92587-7462 |
| Practice Telephone | 4062146030 |
| Practice Fax Number | 4062041201 |
| Mailing Telephone | 4062146030 |
| Mailing Fax Number | 4062041201 |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2017-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 73149 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225700000X | Massage Therapist | LMT-LMT-LIC-6249 | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
23494 SCHOONER DR |
| City | CANYON LAKE |
| State | CA |
| Zip Code | 92587-7462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964635 | Aliah Hasan | Marriage & Family Therapist | 29049 Scout Crt, Canyon Lake, CA 92587 | 2019-07-22 |
| 1316308166 | Chanel Chew Castillo | Dentist | 30290 Skippers Way Dr, Canyon Lake, CA 92587 | 2016-03-08 |
| 1306165709 | Jennifer D Lewis | Massage Therapist | 23717 Cruise Circle Dr, Canyon Lake, CA 92587 | 2010-05-25 |
| 1902901630 | William Brent Robinson | Dentist | 31570 Railroad Canyon Rd, Ste 101, Canyon Lake, CA 92587 | 2006-09-14 |
| 1629582820 | Ashleigh Brown | Specialist/Technologist | 30060 Skippers Way Dr, Canyon Lake, CA 92587-7404 | 2017-11-27 |
| 1013171255 | California Medical Supply | Durable Medical Equipment & Medical Supplies | 30199 Skippers Way Dr, Canyon Lake, CA 92587-7405 | 2008-07-16 |
| 1548748635 | Mason Dental Hygiene Group | Dental Hygienist | 30168 Point Marina Dr, Canyon Lake, CA 92587-7411 | 2018-08-01 |
| 1720633027 | Amy Lynn Mason | Dental Hygienist | 30168 Point Marina Dr, Canyon Lake, CA 92587-7411 | 2019-08-05 |
| 1477752558 | Roger Strong | Dentist | 30389 Point Marina Dr, Canyon Lake, CA 92587-7413 | 2007-07-17 |
| 1508193392 | Ku Il Lee | Chiropractor | 29806 Santa Maria Dr, Canyon Lake, CA 92587-7426 | 2009-11-16 |
| Find all providers in zip 92587 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306165709 | Jennifer D Lewis | Massage Therapist | 23717 Cruise Circle Dr, Canyon Lake, CA 92587 | 2010-05-25 |
| 1841483153 | Buena Ventura Rogers | Massage Therapist | 218 Mccartney Blvd, Canyon Lake, TX 78133-3175 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164265 | Gary L Johnson | Massage Therapist | 222 Columbus Ave Ste 220, San Francisco, CA 94133-4597 | 2020-11-08 |
| 1720689508 | Cebrina Dieli | Massage Therapist | 470 Forest Park Blvd., C-212, Oxnard, CA 93036 | 2020-11-06 |
| 1528669348 | Matthew P Martinez | Massage Therapist | 417 N Citrus Ave Apt 7, Escondido, CA 92027-2765 | 2020-11-06 |
| 1841891603 | Jenni Asher | Massage Therapist | 5425 1/2 Vantage Avenue, Valley Village, CA 91607 | 2020-11-06 |
| 1316548456 | Paulo Conceicao | Massage Therapist | 6559 Comly St, San Diego, CA 92111-5401 | 2020-11-05 |
| 1023619079 | Reanna Whitnall | Massage Therapist | 9950 Campo Rd Ste 204, Spring Valley, CA 91977-1629 | 2020-11-05 |
| 1073114252 | Briana Hill | Massage Therapist | 2203 San Remo Cir, Vista, CA 92084-7727 | 2020-11-04 |
| 1770184954 | Michelle Ann Moeller | Massage Therapist | 5648 Oak Grove Ave, Oakland, CA 94618-1243 | 2020-11-04 |
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1194326553 | Suzanne Romero | Massage Therapist | 411 Alvarado St Apt 201, Monterey, CA 93940-2710 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | CANYON LAKE |
| Zip Code | 92587 |
Please comment or provide details below to improve the information on AMY ANGULO.
| 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.