Healthcare Provider Details

I. General information

NPI: 1629907878
Provider Name (Legal Business Name): ANGELS TLC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3711 LONG BEACH BLVD
LONG BEACH CA
90807-3315
US

IV. Provider business mailing address

3711 LONG BEACH BLVD
LONG BEACH CA
90807-3315
US

V. Phone/Fax

Practice location:
  • Phone: 626-410-3306
  • Fax:
Mailing address:
  • Phone: 626-410-3306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MELISSA ANN LAGMAY DE GUZMAN -AGER
Title or Position: OWNER
Credential: ADMINISTRATOR
Phone: 626-410-3306