MEDICARE: ANGELA MEDRANO

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	1041C0700X	Clinical Social Worker	116254	CA

General Provider Information

NPI Number	:	1275133712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA MEDRANO

Provider Business Mailing Address
First Line	:	3519 EAGLE ROCK BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90065-2826
Country	:	US
Telephone Number	:	323-536-1640
Fax Number	:

Provider Business Practice Location Address
First Line	:	3519 EAGLE ROCK BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90065-2826
Country	:	US
Telephone Number	:	323-536-1640
Fax Number	:

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

Provider Enumeration Date	:	10/26/2020
Last Update Date	:	09/21/2023

Similar Medicare Providers

1942728225 — RACHEL NELSON M.S.
Practice Location Address:

2826 W AVENUE 33
LOS ANGELES, CA
90065-2120

Practice Phone: 972-310-1537
Practice Fax:

1629712120 — PARISA FROST
Practice Location Address:

3519 EAGLE ROCK BLVD
LOS ANGELES, CA
90065-2826

Practice Phone: 424-333-2858
Practice Fax:

1861180515 — AMBER NICOLE SALIK
Practice Location Address:

3519 EAGLE ROCK BLVD
LOS ANGELES, CA
90065-2826

Practice Phone: 323-536-1640
Practice Fax:

1225879273 — JACQUELINE SAN NICOLAS
Practice Location Address:

3519 EAGLE ROCK BLVD
LOS ANGELES, CA
90065-2826

Practice Phone: 323-536-1640
Practice Fax:

1548089568 — HEATHER ARNDT MFT INTERN
Practice Location Address:

3519 EAGLE ROCK BLVD
LOS ANGELES, CA
90065-2826

Practice Phone: 323-405-4928
Practice Fax:

1912941543 — MS. LETICIA ANNE METALLO NP
Practice Location Address:

6400 CRESCENT ST , #128
LOS ANGELES, CA
90042-2826

Practice Phone: 310-478-3711
Practice Fax:

Directions to “ ANGELA MEDRANO ” 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.