Provider Demographics
NPI:1508887845
Name:ANG-FONTE, GLORIETTA Z (MD)
Entity Type:Individual
Prefix:DR
First Name:GLORIETTA
Middle Name:Z
Last Name:ANG-FONTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:500 E REMINGTON DR
Mailing Address - Street 2:#29
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087
Mailing Address - Country:US
Mailing Address - Phone:408-746-0313
Mailing Address - Fax:418-746-0353
Practice Address - Street 1:500 E REMINGTON DR
Practice Address - Street 2:#29
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087
Practice Address - Country:US
Practice Address - Phone:408-746-0313
Practice Address - Fax:418-746-0353
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA32200207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A322000Medicaid
CA00A322000Medicaid