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General NPI Number Information
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NPI Number | 1285439075
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Entity Type | Organization
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Legal Business Name | AMERICAN ANGELS HEALTH & CARE CORPORATION
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Dates
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Enumeration Date | 02/15/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 343 E LEXINGTON AVE # 105
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City | EL CAJON
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State | CA
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Zip | 92020-4520
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Country | US
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Telephone | 619-901-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 1013 ACERO ST
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City | CHULA VISTA
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State | CA
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Zip | 91910-8018
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Country | US
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Telephone | 619-901-9100
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TUBA KAZAN IBRAHIM
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Credential |
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Telephone | 619-901-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080H0002X
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Taxonomy Name | Pediatric Hospice and Palliative Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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