Provider Demographics
NPI:1821565086
Name:PANLASIGUI, ANGELICA MAY
Entity type:Individual
Prefix:
First Name:ANGELICA
Middle Name:MAY
Last Name:PANLASIGUI
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 HILBORN RD STE 950
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94534-7999
Mailing Address - Country:US
Mailing Address - Phone:707-672-3934
Mailing Address - Fax:
Practice Address - Street 1:3700 HILBORN RD STE 950
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-7999
Practice Address - Country:US
Practice Address - Phone:707-672-3934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-25
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health