Healthcare Provider Details

I. General information

NPI: 1912864885
Provider Name (Legal Business Name): ANGELINA WINKLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 TEMPLE AVE
CAMARILLO CA
93010-4833
US

IV. Provider business mailing address

2150 PICKWICK DR # 304
CAMARILLO CA
93010-9998
US

V. Phone/Fax

Practice location:
  • Phone: 855-900-7325
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: