MEDICARE: ANGELA OGANEZOVA

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	163WH1000X	Hospice Registered Nurse	781439	CA

General Provider Information

NPI Number	:	1154100683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA OGANEZOVA

Provider Business Mailing Address
First Line	:	14553 DELANO ST STE 314
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91411-2897
Country	:	US
Telephone Number	:	818-293-8280
Fax Number	:

Provider Business Practice Location Address
First Line	:	8152 COLDWATER CANYON AVE
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-1128
Country	:	US
Telephone Number	:	818-293-8280
Fax Number	:

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

Provider Enumeration Date	:	09/25/2023
Last Update Date	:	09/25/2023

Similar Medicare Providers

1710577226 — ALEXIS DANIELLE YU CO
Practice Location Address:

8130 COLDWATER CANYON AVE
NORTH HOLLYWOOD, CA
91605-1128

Practice Phone: 424-301-1138
Practice Fax:

1477516789 — DR. CHARICE RENEL ZAEHRINGER CRNA
Practice Location Address:

1115 LINCOLN ST
HOLLYWOOD, FL
33019-1128

Practice Phone: 817-994-8760
Practice Fax:

1265667224 — HOLLYWOOD HEIGHTS FIRE DEPARTMENT
Practice Location Address:

1214 HOLLYWOOD HEIGHTS RD
CASEYVILLE, IL
62232-1128

Practice Phone: 618-345-8889
Practice Fax: 618-345-7048

1447647268 — PHILLIP T GU MD
Practice Location Address:

8700 BEVERLY BLVD STE 1128
WEST HOLLYWOOD, CA
90048-1804

Practice Phone: 310-423-4100
Practice Fax: 310-423-0416

1316931074 — MR. MICHAEL JON KIRWAN CRNA
Practice Location Address:

810 NORTH 22ND STREET
BLAIR, NE
68008-1128

Practice Phone: 402-426-2182
Practice Fax: 402-426-1297

1902838865 — THE STOP & SHOP SUPERMARKET COMPANY LLC
Practice Location Address:

1128 MINERAL SPRING AVE
NORTH PROVIDENCE, RI
02904-4104

Practice Phone: 401-727-3900
Practice Fax: 401-727-4076

Directions to “ ANGELA OGANEZOVA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.