MEDICARE: THREE ANGELS MEDICAL PROFESSIONAL CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	208D00000X	General Practice Physician
3	207RG0300X	Geriatric Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1144471939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THREE ANGELS MEDICAL PROFESSIONAL CORP.

Provider Business Mailing Address
First Line	:	99 BUSINESS PARK DR
Second Line	:
City	:	PERRIS
State	:	CA
Zip	:	92571-3165
Country	:	US
Telephone Number	:	951-956-2131
Fax Number	:	951-956-2150

Provider Business Practice Location Address
First Line	:	99 BUSINESS PARK DR
Second Line	:
City	:	PERRIS
State	:	CA
Zip	:	92571-3165
Country	:	US
Telephone Number	:	951-956-2131
Fax Number	:	951-956-2150

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID HERNANDEZ
Credential	:	MD
Telephone Number	:	951-956-2131

Provider Enumeration Date	:	10/10/2008
Last Update Date	:	05/07/2026

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Directions to “THREE ANGELS MEDICAL PROFESSIONAL CORP. ” Practice Location

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