THREE ANGELS MEDICAL PROFESSIONAL CORPORATION (NPI# 1144471939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144471939 |
| Entity Type | Organization |
| Organization Name | THREE ANGELS MEDICAL PROFESSIONAL CORPORATION |
| Practice Address |
180 East 4th St Suite B and C Perris CA 92570 |
| Mailing Address |
11591 Waterwell Ct Riverside CA 92505-5117 |
| Practice Telephone | 9519562131 |
| Practice Fax Number | 9519562150 |
| Mailing Telephone | 9519562131 |
| Mailing Fax Number | 9519562150 |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2015-06-29 |
| Authorized Official Name | DR. DAVID HERNANDEZ (PRESIDENT) |
| Authorized Official Telephone | 9519562131 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A102591 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
180 EAST 4TH ST SUITE B AND C |
| City | PERRIS |
| State | CA |
| Zip Code | 92570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477949709 | Three Angels Medical Professional Corp. | Specialist | 180 East 4th St, Suite B and C, Perris, CA 92570 | 2015-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659861185 | Derriea Mcglothern | Specialist/Technologist | 23126 Rider St, Perris, CA 92570 | 2018-05-10 |
| 1790235109 | Jeromy Ford | Counselor | 226 W. 4th St, Perris, CA 92570 | 2016-10-10 |
| 1699196485 | Taniya Sweeney | Community/Behavioral Health | 413 South B Strret, Perris, CA 92570 | 2013-12-20 |
| 1790091718 | Josh B Neal | Counselor | 827 Georgiana Ct, Perris, CA 92570 | 2010-08-27 |
| 1427370915 | Riverside Recovery Resources | Clinic/Center | 13911 Perris Blvd, Perris, CA 92570 | 2010-02-24 |
| 1205091790 | Jill None Demos | Counselor | 24050 Christmas Tree Lane, Perris, CA 92570 | 2008-07-23 |
| 1598929341 | Jacqueline Anne Rockwell | Counselor | 555 Perris Blvd, Peris, CA 92570 | 2008-07-10 |
| 1053584128 | Perris Union High School District | Local Education Agency (LEA) | 755-b North A Street, Perris, CA 92570 | 2008-04-09 |
| 1477735215 | Christianne Nelson | Case Management | 308 E San Jacinto Avenue, Perris, CA 92570 | 2007-12-04 |
| 1457533291 | Lina Michelle Carrillo-fulk | Registered Nurse | 308 East San Jacinto Avenue, Perris, CA 92570 | 2007-12-04 |
| Find all providers in zip 92570 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295878320 | Efren Rillo | Internal Medicine | 620 N Perris Blvd, Perris, CA 92571-2816 | 2007-02-15 |
| 1083664858 | David Hernandez-rodriguez | Internal Medicine | 180 E 4th St Ste Bc, Perris, CA 92570-2114 | 2006-05-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.