Angela I Ingendaay M D Professional Corporation

NPI #1770188252 in Grass Valley, California

Provider Information

NPI Number: 1770188252
Entity Type: Organization
Organization Name: Angela I Ingendaay M D Professional Corporation
Primary Specialty: General Practice
Enumeration Date: Dec 2, 2020
Last Updated: Feb 17, 2021

Practice Location

Address: 150 S AUBURN ST
City: Grass Valley
State: California
ZIP Code: 95945-6576
Phone: (530) 559-1342

Authorized Official

Name: DR. ANGELA I INGENDAAY, M.D.
Title: CEO/MD
Phone: (530) 559-1342

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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