Provider Demographics
NPI:1518137587
Name:CALMA, JOHN MAR ANGELES (LMP)
Entity Type:Individual
Prefix:MR
First Name:JOHN MAR
Middle Name:ANGELES
Last Name:CALMA
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11716 7TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-5573
Mailing Address - Country:US
Mailing Address - Phone:425-346-8288
Mailing Address - Fax:425-512-8070
Practice Address - Street 1:16825 48TH AVE W STE 226
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-6404
Practice Address - Country:US
Practice Address - Phone:425-346-8828
Practice Address - Fax:425-512-8070
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-06
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00022859174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist