MEDICARE: ANGELLA BRINKMAN MA

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	101YM0800X	Mental Health Counselor	133946	CA

General Provider Information

NPI Number	:	1871201244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELLA BRINKMAN MA

Provider Business Mailing Address
First Line	:	23509 CANTARA RD
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92883-9230
Country	:	US
Telephone Number	:	949-202-6112
Fax Number	:

Provider Business Practice Location Address
First Line	:	23509 CANTARA RD
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92883-9230
Country	:	US
Telephone Number	:	949-202-6112
Fax Number	:

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

Provider Enumeration Date	:	11/14/2022
Last Update Date	:	06/11/2026

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