Provider Demographics
NPI:1023215191
Name:ANG, ROMEO FELITO JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROMEO FELITO
Middle Name:
Last Name:ANG
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ROMEO
Other - Middle Name:
Other - Last Name:ANG
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:19025 WILEYS WELL RD
Mailing Address - Street 2:
Mailing Address - City:BLYTHE
Mailing Address - State:CA
Mailing Address - Zip Code:92225-2287
Mailing Address - Country:US
Mailing Address - Phone:760-922-5300
Mailing Address - Fax:760-922-9760
Practice Address - Street 1:19025 WILEYS WELL RD
Practice Address - Street 2:
Practice Address - City:BLYTHE
Practice Address - State:CA
Practice Address - Zip Code:92225-2287
Practice Address - Country:US
Practice Address - Phone:760-922-5300
Practice Address - Fax:760-922-9760
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA54060207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine