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NPI Code Detail

MEDICARE: THREE ANGELS MEDICAL PROFESSIONAL CORP.

MEDICARE: THREE ANGELS MEDICAL PROFESSIONAL CORP.
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
1207R00000XInternal Medicine PhysicianA102591CA

General Provider Information

NPI Number : 1144471939
Entity Type Code : Organization
Provider Name (Legal Business Name) : THREE ANGELS MEDICAL PROFESSIONAL CORP.
Provider Business Mailing Address
First Line : 99 BUSINESS PARK DR
Second Line :
City : PERRIS
State : CA
Zip : 92571-3165
Country : US
Telephone Number : 951-956-2131
Fax Number : 951-956-2150
Provider Business Practice Location Address
First Line : 99 BUSINESS PARK DR
Second Line :
City : PERRIS
State : CA
Zip : 92571-3165
Country : US
Telephone Number : 951-956-2131
Fax Number : 951-956-2150
Authorized Official
Title or Position : PRESIDENT
Name : DR. DAVID HERNANDEZ
Credential : MD
Telephone Number : 951-956-2131
Provider Enumeration Date : 10/10/2008
Last Update Date : 03/02/2026

Similar Medicare Providers

1447908264 — MD SENIOR CARE MEDICAL GROUP, INC.
Practice Location Address:
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1598569105 — JASSON EMMANUEL RUIZ
Practice Location Address:
2055 N PERRIS BLVD STE C
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1487501441 — CINDY SEBASTIAN
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85 RAMONA EXPY STE 13
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Directions to “THREE ANGELS MEDICAL PROFESSIONAL CORP. ” Practice Location

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