Healthcare Provider Details

I. General information

NPI: 1912837477
Provider Name (Legal Business Name): ANGELS TOUCH MEDICAL CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3463 RAMONA AVE STE 16
SACRAMENTO CA
95826-3827
US

IV. Provider business mailing address

3463 RAMONA AVE STE 16
SACRAMENTO CA
95826-3827
US

V. Phone/Fax

Practice location:
  • Phone: 916-517-4625
  • Fax: 916-957-5796
Mailing address:
  • Phone: 916-517-4625
  • Fax: 916-957-5796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LARRY REYNOLDS FELICIANO
Title or Position: PRESIDENT
Credential: MD
Phone: 916-271-5608