Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A132729 | CA |
N | 208600000X | Surgeon | A132729 | CA |
Y | 2086X0206X | Surgical Oncologist | A132729 | CA |
NPI | 1003259219 |
---|---|
Provider Name | Dr. Stephanie Anne Kingman Angarita |
First Address | Downey, CA 90242-2814 |
Second Address | Downey, CA 90242-2814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2013 |
Last Update Date | 06/12/2021 |