Hermenegildo G Angeles Jr. Medical Corp

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HERMENEGILDO G ANGELES JR. MEDICAL CORP

Practice address

350 F St
Colma, CA 94014-3100

Phone

(415) 793-5881

NPI assigned

Jun 5, 2020

Last updated

Jun 5, 2020By 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

Mireen Quizon Delos Santos, NP

Title

Vice President

Phone

(415) 793-5881

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1831713759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 F ST",
            "city": "COLMA",
            "state": "CA",
            "postal_code": "940143100",
            "telephone_number": "415-793-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 F ST",
            "city": "COLMA",
            "state": "CA",
            "postal_code": "940143100",
            "telephone_number": "415-793-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMENEGILDO G ANGELES JR. MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "DELOS SANTOS",
        "authorized_official_first_name": "MIREEN",
        "authorized_official_middle_name": "QUIZON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "415-793-5881",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kinter Dialysis, LLC (Colma Dialysis)

• Primary Care Clinic/Center in Colma, CA
• Providers in Colma, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.