Provider Demographics
NPI:1255920930
Name:ANGELES, RUBEN CALINGASAN JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:RUBEN
Middle Name:CALINGASAN
Last Name:ANGELES
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 W MOUNTAIN VIEW ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-5822
Mailing Address - Country:US
Mailing Address - Phone:562-310-5282
Mailing Address - Fax:
Practice Address - Street 1:44 W MOUNTAIN VIEW ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-5822
Practice Address - Country:US
Practice Address - Phone:562-310-5282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-15
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH83842183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist