Provider Demographics
NPI:1306668025
Name:ANGELS MENTAL HEALTH & WELLNESS SERVICES P.C
Entity type:Organization
Organization Name:ANGELS MENTAL HEALTH & WELLNESS SERVICES P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUWASEUN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-680-0863
Mailing Address - Street 1:5757 W CENTURY BLVD FL 6
Mailing Address - Street 2:STE 650R
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-6401
Mailing Address - Country:US
Mailing Address - Phone:888-680-0863
Mailing Address - Fax:213-805-8489
Practice Address - Street 1:5757 W CENTURY BLVD FL 6
Practice Address - Street 2:STE 650R
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-6401
Practice Address - Country:US
Practice Address - Phone:888-680-0863
Practice Address - Fax:213-805-8489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-25
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty