MEDICARE: ANGELA L HENSZEL 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	207L00000X	Anesthesiology Physician	35085849	OH

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	:	1902863194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA L HENSZEL M.D.

Provider Business Mailing Address
First Line	:	2627 MONTCLAIR DR
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95993-5167
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	460 PLUMAS BLVD
Second Line	:	SUITE 202
City	:	YUBA CITY
State	:	CA
Zip	:	95991-5005
Country	:	US
Telephone Number	:	530-749-5500
Fax Number	:

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

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	09/13/2012

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