MEDICARE: ANGELIQUE LE ROUX

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	183500000X	Pharmacist	62268	CA

General Provider Information

NPI Number	:	1336455682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELIQUE LE ROUX

Provider Business Mailing Address
First Line	:	2500 DEER VALLEY RD
Second Line	:	APT 827
City	:	SAN RAFAEL
State	:	CA
Zip	:	94903-1935
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19205 HIGHWAY 12
Second Line	:
City	:	SONOMA
State	:	CA
Zip	:	95476-5413
Country	:	US
Telephone Number	:	707-938-0281
Fax Number	:

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

Provider Enumeration Date	:	08/25/2010
Last Update Date	:	08/25/2010

Similar Medicare Providers

1760591127 — THRIFTY PAYLESS INC
Practice Location Address:

19205 SONOMA HIGHWAY , MAXWELL VILLAGE SHOPPING CENTER
SONOMA, CA
95476-5413

Practice Phone: 707-938-0281
Practice Fax:

1780995357 — RANDY A RYDER
Practice Location Address:

19205 HIGHWAY 12
SONOMA, CA
95476-5413

Practice Phone: 707-938-0282
Practice Fax: 707-938-2649

1669763124 — MARGARET CORNELIA MEYER-PRETORIUS
Practice Location Address:

19205 HIGHWAY 12
SONOMA, CA
95476-5413

Practice Phone: 707-938-0547
Practice Fax:

1053435610 — ANNA G. HARLEMAN R.D.
Practice Location Address:

19270 HIGHWAY 12
SONOMA, CA
95476-5414

Practice Phone: 707-939-6070
Practice Fax:

1326839879 — AUDREY KANG DDS DENTAL CORPORATION
Practice Location Address:

378 PERKINS ST
SONOMA, CA
95476-6827

Practice Phone: 707-996-3016
Practice Fax:

1528847589 — DAH-IN AUDREY KANG DDS
Practice Location Address:

378 PERKINS ST
SONOMA, CA
95476-6827

Practice Phone: 707-343-9990
Practice Fax:

Directions to “ ANGELIQUE LE ROUX ” 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.