Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1033758719 |
---|---|
Provider Name | Dr. Angela Kim Garland |
First Address | Los Angeles, CA 90015-3012 |
Second Address | Los Angeles, CA 90015-3012 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2019 |
Last Update Date | 05/01/2020 |