Provider Demographics
NPI:1356471429
Name:ONGCAPIN, ANGELA CATTLEYA KASTNER (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA CATTLEYA
Middle Name:KASTNER
Last Name:ONGCAPIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:501 S IDAHO ST STE 250
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-6594
Mailing Address - Country:US
Mailing Address - Phone:562-501-1750
Mailing Address - Fax:562-501-1686
Practice Address - Street 1:501 S IDAHO ST STE 250
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-6594
Practice Address - Country:US
Practice Address - Phone:562-501-1750
Practice Address - Fax:562-501-1686
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY25463103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical