Provider Demographics
NPI:1972308187
Name:ANGULO RAMOS, KRISNA GUADALUPE
Entity type:Individual
Prefix:
First Name:KRISNA
Middle Name:GUADALUPE
Last Name:ANGULO RAMOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1914
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92202-1914
Mailing Address - Country:US
Mailing Address - Phone:760-848-4908
Mailing Address - Fax:
Practice Address - Street 1:81557 DR CARREON BLVD STE B6
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-5562
Practice Address - Country:US
Practice Address - Phone:760-848-4908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator