Healthcare Provider Details

I. General information

NPI: 1275910374
Provider Name (Legal Business Name): ANGELA COOMBS MUMUNI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANGELA COOMBS M.D.

II. Dates (important events)

Enumeration Date: 04/28/2015
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 BANCROFT AVE
OAKLAND CA
94605-2403
US

IV. Provider business mailing address

251 CENTRAL PARK W APT 1A
NEW YORK NY
10024-4111
US

V. Phone/Fax

Practice location:
  • Phone: 510-777-3800
  • Fax:
Mailing address:
  • Phone: 347-338-0386
  • Fax: 781-205-1581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA172390
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: