Provider Demographics
NPI:1336446954
Name:PINTO, ANGELA (ACUPUNCTURIST)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:PINTO
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5650 WOODMAN AVE
Mailing Address - Street 2:UNIT 102
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-4733
Mailing Address - Country:US
Mailing Address - Phone:818-515-3366
Mailing Address - Fax:818-781-7662
Practice Address - Street 1:5650 WOODMAN AVE
Practice Address - Street 2:UNIT 102
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-4733
Practice Address - Country:US
Practice Address - Phone:818-515-3366
Practice Address - Fax:818-781-7662
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-16
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 13809171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist