Healthcare Provider Details

I. General information

NPI: 1528993961
Provider Name (Legal Business Name): ANGELA ANSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3617 VISTA WAY
OCEANSIDE CA
92056-4522
US

IV. Provider business mailing address

PO BOX 585
BORREGO SPRINGS CA
92004-0585
US

V. Phone/Fax

Practice location:
  • Phone: 442-266-2809
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number65777
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: