Angela Diane Copple
Individual provider Active NPI Case Manager/Care Coordinator · Blythe, CA
NPI 1073005807 · NPPES record last updated Jun 6, 2018
Key facts
- NPI
- 1073005807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 240 N Broadway
Blythe, CA 92225-1609 - Phone
- (760) 921-5860
- Fax
- (760) 921-5886
- NPI assigned
- Jun 6, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
240 N Broadway
Blythe, CA 92225-1609
Mailing address
240 N Broadway
Blythe, CA 92225-1609
Phone (760) 921-5860
Other providers in Blythe, CA
- Clear Vision Treatment Centers Inc.
- Clinicas de Salud del Pueblo, Inc
- Aurora Angela Colangeli
- Stephen R Colestock Jr.
- Kenneth Collins
- Corrections and Rehabilitation-Headquarters
- Damian Cortez
- County of Riverside
- County of Riverside
- County of Riverside
All providers in Blythe, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.