Provider Demographics
NPI:1093209595
Name:ANGELS MEDICAL LLC
Entity Type:Organization
Organization Name:ANGELS MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:YASSIR
Authorized Official - Middle Name:K
Authorized Official - Last Name:SOLIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-576-5592
Mailing Address - Street 1:300 N GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08401-4032
Mailing Address - Country:US
Mailing Address - Phone:609-576-5592
Mailing Address - Fax:609-449-8453
Practice Address - Street 1:300 N GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401-4032
Practice Address - Country:US
Practice Address - Phone:609-576-5592
Practice Address - Fax:609-449-8453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)