Provider Demographics
NPI:1851970743
Name:ANGEL CONCIERGE SERVICES
Entity Type:Organization
Organization Name:ANGEL CONCIERGE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TOYANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN,MS
Authorized Official - Phone:951-666-3013
Mailing Address - Street 1:16379 E PRESERVE LOOP UNIT 1922
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91708-8895
Mailing Address - Country:US
Mailing Address - Phone:951-666-3013
Mailing Address - Fax:951-407-1144
Practice Address - Street 1:16379 E PRESERVE LOOP UNIT 1922
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91708-8895
Practice Address - Country:US
Practice Address - Phone:951-666-3013
Practice Address - Fax:951-704-1144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Multi-Specialty