Healthcare Provider Details

I. General information

NPI: 1346741899
Provider Name (Legal Business Name): ANGER ME NOT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2018
Last Update Date: 02/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19303 CLIVEDEN AVE
CARSON CA
90746-2716
US

IV. Provider business mailing address

19303 CLIVEDEN AVE
CARSON CA
90746-2716
US

V. Phone/Fax

Practice location:
  • Phone: 310-596-5056
  • Fax: 310-627-9744
Mailing address:
  • Phone: 310-596-5056
  • Fax: 310-627-9744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateCA

VIII. Authorized Official

Name: MS. PAULA HASTINGS
Title or Position: OWNER/COUNSELOR
Credential:
Phone: 310-596-5056