Healthcare Provider Details

I. General information

NPI: 1205638764
Provider Name (Legal Business Name): ANGEL CARE HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3636 WESTMINSTER AVE
SANTA ANA CA
92703-1445
US

IV. Provider business mailing address

3636 WESTMINSTER AVE
SANTA ANA CA
92703-1445
US

V. Phone/Fax

Practice location:
  • Phone: 909-982-2233
  • Fax: 909-982-2022
Mailing address:
  • Phone: 909-982-2233
  • Fax: 909-982-2022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ANGELINA VO
Title or Position: PRESIDENT
Credential:
Phone: 909-982-2233