Healthcare Provider Details

I. General information

NPI: 1154780641
Provider Name (Legal Business Name): ANGEL OUZA LMSW AND LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2016
Last Update Date: 08/08/2022
Certification Date: 08/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1828 S MILPITAS BLVD APT 348
MILPITAS CA
95035-3950
US

IV. Provider business mailing address

1828 S MILPITAS BLVD APT 348
MILPITAS CA
95035-3950
US

V. Phone/Fax

Practice location:
  • Phone: 424-422-0314
  • Fax:
Mailing address:
  • Phone: 424-422-0314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801091250
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number6801091250
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: