Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY PHEASANT ANGELO, D.C.
Active Sole ProprietorDR. TIMOTHY PHEASANT ANGELO, D.C. is a Sports Physician (Chiropractor) healthcare provider located in EL DORADO HILLS, California. NPI 1568686814 is currently active in the NPPES registry. Verify at CMS.
Sports Physician (Chiropractor) · EL DORADO HILLS, CA
Registration Details
- NPI Number
- 1568686814
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2007 (19.159793046626 yrs)
- Last Updated
- Sep 24, 2016
- License
-
30036 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
903 EMBARCADERO DRSUITE 3EL DORADO HILLS, CA, 957624098Browse CA providers · Browse ZIP 95762
- Phone
- 9169339870
- Fax
- 9169332708
- Primary Specialty
-
Sports Physician (Chiropractor)
111NS0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.