Nuestra Angel Medical Center Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

NUESTRA ANGEL MEDICAL CENTER INC

Practice address

545 S Alvarado St
Suite D
Los Angeles, CA 90057-2903

Phone

(213) 483-3987

NPI assigned

May 12, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Allan Ming Wang, M.D.NPI 1114028404

Title

Ceo

Phone

(213) 483-3987

Specialties & licenses 2

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allan Wang, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1114028404
  NPD (past) Authorized official
• Eldine A Banquerigo, M.D.

  • Family Medicine Physician
  • Rancho Cucamonga, CA
  • NPI 1851367528
  NPD (past)
• Woo Sup Kim, DC

  • Chiropractor
  • Los Angeles, CA
  • NPI 1144249269
  NPD (past)
• Dennis Wayne Shults, DO

  • Family Medicine Physician
  • Brea, CA
  • NPI 1043370026
  NPD (past)
• Dennis Yenn, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Toluca Lake, CA
  • NPI 1326068578
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1689625022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 S ALVARADO ST",
            "address_2": "SUITE D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 S ALVARADO ST",
            "address_2": "SUITE D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572903",
            "telephone_number": "213-483-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUESTRA ANGEL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "MING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-483-3987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Nucum
• Anna Guerra Nudelman, BS
• Kenneth A. Nudelman, MD
• Ronald Keut Nudelmar, MD
• Keith H. Nuechterlein, PHD
• Nuestra Clinica, Inc
• Nuestra Familia, a Counseling and Social Services Agency, Inc
• Nuestra Rehabilitation Center , Inc.
• Nueva Esperanza Healthcare Medical Clinic Inc.
• Nueva Esperanza Healthcare Medical Clinic Inc.

• Physical Medicine & Rehabilitation Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.