Healthcare Provider Details

I. General information

NPI: 1215893276
Provider Name (Legal Business Name): ANGELA R HUNTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 S EL CAMINO REAL
ENCINITAS CA
92024-4141
US

IV. Provider business mailing address

205 S EL CAMINO REAL
ENCINITAS CA
92024-4141
US

V. Phone/Fax

Practice location:
  • Phone: 760-274-1671
  • Fax: 760-274-1671
Mailing address:
  • Phone: 760-274-1671
  • Fax: 760-274-1671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number52970
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: