Provider Demographics
NPI:1528387370
Name:ANGARELLA, JOSEPH VINCENT (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:VINCENT
Last Name:ANGARELLA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11974 MOORPARK ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-1757
Mailing Address - Country:US
Mailing Address - Phone:818-763-8048
Mailing Address - Fax:818-441-5441
Practice Address - Street 1:4519 ROSEMEAD BLVD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770
Practice Address - Country:US
Practice Address - Phone:818-763-8048
Practice Address - Fax:818-441-5441
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YA0400X, 101YM0800X
CAPSB 94020985103TA0400X
CA94020985103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy