MEDICARE: DR. ROXANN SONIA ENGLE DO

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	207Q00000X	Family Medicine Physician	20A7066	CA

General Provider Information

NPI Number	:	1710981303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROXANN SONIA ENGLE DO

Provider Business Mailing Address
First Line	:	200 S MANCHESTER AVE STE 300
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-3219
Country	:	US
Telephone Number	:	714-456-2986
Fax Number	:

Provider Business Practice Location Address
First Line	:	18637 YORBA LINDA BLVD
Second Line	:
City	:	YORBA LINDA
State	:	CA
Zip	:	92886-4136
Country	:	US
Telephone Number	:	714-790-8600
Fax Number	:

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

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	11/14/2022

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