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General NPI Number Information
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NPI Number | 1891974960
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Entity Type | Individual
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Provider Name | ANGELA MARIA COLOMBO M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/25/2007
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 20072 SW BIRCH ST STE 190
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-0799
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Country | US
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Telephone | 949-354-4161
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Fax |
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Provider Business Mailing Address
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Address Line | 27762 ANTONIO PKWY L1 #325
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City | LADERA RANCH
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State | CA
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Zip | 92694-1247
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Country | US
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Telephone | 949-235-8835
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A73564
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License Number State | CA
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