Provider Demographics
NPI:1124376363
Name:ECHIVERRI, ANGELA TAMBUNTING (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:TAMBUNTING
Last Name:ECHIVERRI
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Gender:
Credentials:MD, MPH
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Mailing Address - Street 1:2509 PICO BLVD
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-1828
Mailing Address - Country:US
Mailing Address - Phone:310-392-8636
Mailing Address - Fax:310-943-3521
Practice Address - Street 1:2509 PICO BLVD
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405-1828
Practice Address - Country:US
Practice Address - Phone:310-392-8636
Practice Address - Fax:310-943-3521
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-20
Last Update Date:2025-03-11
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Provider Licenses
StateLicense IDTaxonomies
CAA129632207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine