MEDICARE: DR. NIREN ANGLE M.D.

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	208600000X	Surgery Physician	G78968	CA
2	2086S0129X	Vascular Surgery Physician	G78968	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720045412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIREN ANGLE M.D.

Provider Business Mailing Address
First Line	:	1320 EL CAPITAN DR
Second Line	:	STE 120
City	:	DANVILLE
State	:	CA
Zip	:	94526-6260
Country	:	US
Telephone Number	:	925-239-2549
Fax Number	:

Provider Business Practice Location Address
First Line	:	24411 HEALTH CENTER DR
Second Line	:	SUITE 350
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3651
Country	:	US
Telephone Number	:	949-457-7900
Fax Number	:

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

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	06/04/2020

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Directions to “ DR. NIREN ANGLE M.D.” Practice Location

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