Angela M Colombo, Md Inc

LBN: Angela M Colombo Md Inc
Angela M Colombo, Md Inc is an health care organization with primary practice located at 20072 Sw Birch St Ste 190 , Newport Beach CA 92660-0799. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Ambulatory Health Care Facilities / Corporate Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Angela M Colombo Md Inc can be contacted via phone (949) 354-4161, or through Colombo, Angela M. via phone (949) 354-4161.

Contact Information

Primary practice address
20072 Sw Birch St Ste 190 Newport Beach CA 92660-0799
Phone: (949) 354-4161
Fax: (833) 667-0260
Website:
Map and Directions
Authorized official contact:
Name: Colombo, Angela M. Doctor of Medicine (MD)
Phone: (949) 354-4161

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X
Ambulatory Health Care Facilities / Corporate Health 261QC1800X

Profile Details

NPI number 1437887395
LBN Legal business name Angela M Colombo Md Inc
DBA Doing business as Angela M Colombo, Md Inc
Authorized official Colombo, Angela M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2022
Last updated Oct 25th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437887395 NPPES
California MEDICAID 1104474634
California MEDICAID 1164931341
California MEDICAID 1891974960
California MEDICAID 1780818971

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