Provider Demographics
NPI:1841427226
Name:ANGELES, JEFFREY TUMOLVA (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:TUMOLVA
Last Name:ANGELES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 54679
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90054-0679
Mailing Address - Country:US
Mailing Address - Phone:310-423-5252
Mailing Address - Fax:310-967-1773
Practice Address - Street 1:8700 BEVERLY BLVD
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1804
Practice Address - Country:US
Practice Address - Phone:310-423-5252
Practice Address - Fax:310-967-1773
Is Sole Proprietor?:No
Enumeration Date:2009-06-12
Last Update Date:2016-04-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA126731207RG0300X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine