MEDICARE: DR. ANGELA CALTON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	G53970	MO
2	207Q00000X	Family Medicine Physician	G53970	CA

General Provider Information

NPI Number	:	1043219595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELA CALTON M.D.

Provider Business Mailing Address
First Line	:	26522 LA ALAMEDA
Second Line	:	SUITE 120
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-6330
Country	:	US
Telephone Number	:	949-282-1671
Fax Number	:	949-367-0518

Provider Business Practice Location Address
First Line	:	30131 TOWN CENTER DR
Second Line	:	SUITE 250
City	:	LAGUNA NIGUEL
State	:	CA
Zip	:	92677-2034
Country	:	US
Telephone Number	:	949-363-9595
Fax Number	:	949-363-7055

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	05/20/2013

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Directions to “ DR. ANGELA CALTON M.D.” Practice Location

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