Healthcare Provider Details

I. General information

NPI: 1689583502
Provider Name (Legal Business Name): ANGELINE E SALDIVAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S CANYON BLVD
MONROVIA CA
91016-3535
US

IV. Provider business mailing address

6058 WESTERN AVE APT B
WHITTIER CA
90601-2849
US

V. Phone/Fax

Practice location:
  • Phone: 626-471-2001
  • Fax:
Mailing address:
  • Phone: 626-471-2001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberB7669416
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: