Most Relevant Information
Provider Data
| NPI Number: | 1003695065 |
| Provider Name: | ANGEL JONATHAN BAEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/27/2023 |
| Last Updated: | 09/27/2023 |
Provider Practice Location
1720 E 120TH ST
LOS ANGELES
CA
900593052
Practice Location Phone/Fax
| Phone: | 5628375137 |
| Fax: |
Provider Mailing Location
13229 BARLIN AVE
DOWNEY
CA
902425103
Provider Mailing Phone/Fax
| Phone: | 5628375137 |
| Fax: |