Angel Healthcare, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

00000000 Issued in CA

Legal business name

ANGEL HEALTHCARE, LLC

Practice address

218 E Anaheim St
Wilmington, CA 90744-4516

Phone

(310) 518-5312

NPI assigned

Aug 17, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Oluwaremilekun O. Dimowo

Title

Partner

Phone

(626) 201-6466

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1124376496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 PIERRE RD",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917891934",
            "telephone_number": "951-966-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E ANAHEIM ST",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907444516",
            "telephone_number": "310-518-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "DIMOWO",
        "authorized_official_first_name": "OLUWAREMILEKUN",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "626-201-6466",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "00000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Wilmington, CA
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.