MEDICARE: DR. JENNIFER ANN ANGELL DC, CPM, LM

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC30172	CA
2	176B00000X	Midwife	LM555	CA

General Provider Information

NPI Number	:	1396999678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER ANN ANGELL DC, CPM, LM

Provider Business Mailing Address
First Line	:	4019 WESTERLY PL STE 101
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2343
Country	:	US
Telephone Number	:	949-333-1550
Fax Number	:	949-333-1552

Provider Business Practice Location Address
First Line	:	4019 WESTERLY PL STE 101
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2343
Country	:	US
Telephone Number	:	949-333-1550
Fax Number	:	949-333-1552

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2008
Last Update Date	:	05/31/2024

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