Active NPI
Angelian Management Group LLC
- Adult Day Care Clinic/Center
- Laguna Hills, CA
National Provider Identifier
1770139487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- ANGELIAN MANAGEMENT GROUP LLC
- Practice address
- 23551 Moulton Pkwy
Laguna Hills, CA 92653-1911 - Phone
- (949) 707-1707
- Fax
- (949) 258-5117
- NPI assigned
- Aug 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mona Yacko
- Title
- Administrator
- Phone
- (949) 933-6546
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
23551 Moulton Pkwy
Laguna Hills, CA 92653-1911
Mailing address
23551 Moulton Pkwy
Laguna Hills, CA 92653-1911
Phone (949) 707-1707
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2259845 | Angelian Management Group LLC | Certificate of waiver | May 10, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566086400000",
"number": "1770139487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23551 MOULTON PKWY",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531911",
"telephone_number": "949-707-1707",
"fax_number": "949-258-5117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23551 MOULTON PKWY",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531911",
"telephone_number": "949-707-1707",
"fax_number": "949-258-5117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELIAN MANAGEMENT GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-18",
"last_updated": "2019-08-18",
"status": "A",
"authorized_official_last_name": "YACKO",
"authorized_official_first_name": "MONA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "949-933-6546"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.