Provider Demographics
NPI:1326221409
Name:PRIESTLEY, ANGELIKA (MD)
Entity Type:Individual
Prefix:
First Name:ANGELIKA
Middle Name:
Last Name:PRIESTLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24411 HEALTH CENTER DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653
Mailing Address - Country:US
Mailing Address - Phone:949-829-5500
Mailing Address - Fax:949-347-8090
Practice Address - Street 1:24411 HEALTH CENTER DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92629
Practice Address - Country:US
Practice Address - Phone:949-829-5500
Practice Address - Fax:949-347-8090
Is Sole Proprietor?:No
Enumeration Date:2007-12-11
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA122180207V00000X
AZ41901207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology