Organization Active NPI

Angelian Management Group LLC

  • Adult Day Care Clinic/Center
  • Laguna Hills, CA
National Provider Identifier
1770139487
Registry record updated Aug 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Aug 18, 2019

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2259845Angelian Management Group LLC23551 Moulton Parkway, Laguna Hills, CA 92653Certificate of waiverMay 10, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.