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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TEODORICA M ANGULO, RDO

Active Sole Proprietor

MRS. TEODORICA M ANGULO, RDO is a Optician, Dispensing healthcare provider located in AZUSA, California. NPI 1811071038 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · AZUSA, CA

Registration Details

NPI Number
1811071038
Provider Type
Individual
Gender
Female
NPI Issued
Oct 24, 2006 (19.82799978965 yrs)
Last Updated
Jul 8, 2007
License
3994 (CA)
Sole Proprietor
Yes

Practice Information

Address
459 S AZUSA AVE STE F
AZUSA, CA, 917024945
Browse CA providers · Browse ZIP 91702
Phone
6269697538
Fax
6269697538
Primary Specialty
Optician, Dispensing
156FX1800X
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.