Healthcare Provider Details

I. General information

NPI: 1528539806
Provider Name (Legal Business Name): ANGELEIGH MANJARREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2018
Last Update Date: 09/11/2025
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1182 MARKET ST STE 300
SAN FRANCISCO CA
94102-4919
US

IV. Provider business mailing address

1182 MARKET ST STE 300
SAN FRANCISCO CA
94102-4919
US

V. Phone/Fax

Practice location:
  • Phone: 415-915-0505
  • Fax: 415-915-0909
Mailing address:
  • Phone: 415-608-3089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: