Provider Demographics
NPI:1316371289
Name:LINO-CHOE, ANGELICA GARINGO
Entity Type:Individual
Prefix:
First Name:ANGELICA
Middle Name:GARINGO
Last Name:LINO-CHOE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11799 CORINO WAY
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95742-8033
Mailing Address - Country:US
Mailing Address - Phone:301-992-0395
Mailing Address - Fax:
Practice Address - Street 1:11799 CORINO WAY
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95742-8033
Practice Address - Country:US
Practice Address - Phone:301-992-0395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39039225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist