Healthcare Provider Details

I. General information

NPI: 1023694718
Provider Name (Legal Business Name): CHRISTINE MARIE MANALANG ANGELES DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 LA VENTA DR STE 101A
WESTLAKE VILLAGE CA
91361-3760
US

IV. Provider business mailing address

5767 W CENTURY BLVD STE 400
LOS ANGELES CA
90045-5631
US

V. Phone/Fax

Practice location:
  • Phone: 805-494-6920
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number20A25338
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: