Provider Demographics
NPI:1760716088
Name:VISITING ANGELS DEL MAR
Entity Type:Organization
Organization Name:VISITING ANGELS DEL MAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAPPARDINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-350-4301
Mailing Address - Street 1:12707 HIGH BLUFF DR
Mailing Address - Street 2:219
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2035
Mailing Address - Country:US
Mailing Address - Phone:858-350-4301
Mailing Address - Fax:858-350-4348
Practice Address - Street 1:12707 HIGH BLUFF DR
Practice Address - Street 2:219
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-2035
Practice Address - Country:US
Practice Address - Phone:858-350-4301
Practice Address - Fax:858-350-4348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health