MEDICARE: ANGEL HEALTH AND MEDICAL PC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1285582429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL HEALTH AND MEDICAL PC

Provider Business Mailing Address
First Line	:	23928 LYONS AVE STE 101
Second Line	:
City	:	NEWHALL
State	:	CA
Zip	:	91321-2452
Country	:	US
Telephone Number	:	747-221-3443
Fax Number	:	747-221-3553

Provider Business Practice Location Address
First Line	:	23928 LYONS AVE STE 101
Second Line	:
City	:	NEWHALL
State	:	CA
Zip	:	91321-2452
Country	:	US
Telephone Number	:	747-221-3443
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALVA MARSH
Credential	:
Telephone Number	:	747-221-3443

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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Directions to “ANGEL HEALTH AND MEDICAL PC ” Practice Location

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