Provider Demographics
NPI:1124376363
Name:ECHIVERRI, ANGELA TAMBUNTING (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:TAMBUNTING
Last Name:ECHIVERRI
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
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Mailing Address - Street 1:435 2ND AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3223
Mailing Address - Country:US
Mailing Address - Phone:310-310-0410
Mailing Address - Fax:
Practice Address - Street 1:2500 ALHAMBRA AVE
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-3156
Practice Address - Country:US
Practice Address - Phone:925-370-5116
Practice Address - Fax:925-370-5142
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-20
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA129632207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine