Provider Demographics
NPI:1598341844
Name:ANGULO, JOSH (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSH
Middle Name:
Last Name:ANGULO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13280 WOODLAND PARK RD APT 323
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-5036
Mailing Address - Country:US
Mailing Address - Phone:202-991-4317
Mailing Address - Fax:
Practice Address - Street 1:8000 TOWERS CRESCENT DR STE 170014
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-6207
Practice Address - Country:US
Practice Address - Phone:202-991-4317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-18
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557728111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor