MEDICARE: MRS. ANGELMAE E AWANG 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	363AM0700X	Medical Physician Assistant		CA

General Provider Information

NPI Number	:	1891633772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANGELMAE E AWANG MA

Provider Business Mailing Address
First Line	:	15329 GARD AVE
Second Line	:
City	:	NORWALK
State	:	CA
Zip	:	90650-6340
Country	:	US
Telephone Number	:	562-584-3857
Fax Number	:

Provider Business Practice Location Address
First Line	:	3939 ATLANTIC AVE STE 102
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3535
Country	:	US
Telephone Number	:	562-304-9592
Fax Number	:

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

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	04/06/2026

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