| Keith Angelin | |
|
1510 S Coast Hwy Oceanside CA 92054-5355 | |
| (949) 939-9222 | |
| (866) 929-6316 |
| Full Name | Keith Angelin |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1510 S Coast Hwy, Oceanside, California |
| Authorized Official Name and Position | Keith Angelin (LICENSED ALCOHOL AND DRUG COUNSELOR) |
| Authorized Official Contact | 9499399222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Angelin 1510 S Coast Hwy Oceanside CA 92054-5355 Ph: (949) 939-9222 | Keith Angelin 1510 S Coast Hwy Oceanside CA 92054-5355 Ph: (949) 939-9222 |
| NPI Number | 1366977217 |
|---|---|
| Provider Enumeration Date | 04/28/2017 |
| Last Update Date | 04/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366977217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LR02541116 (California) | Primary |
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