MR. ANGELO B COLLADO


Address: 408 N Wabash Ave, Glendora, CA 91741-2615
Phone: 6268411290

MR. ANGELO B COLLADO (NPI# 1942548656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942548656
Entity Type Individual
Full Name MR. ANGELO B COLLADO
Credential PTA
Practice Address 408 N Wabash Ave
Glendora
CA 91741-2615
Practice Telephone 6268411290
Mailing Telephone 6268411290
Enumeration Date 2013-01-30
Last Update Date 2013-01-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor AT2479 CA Other Service Providers

Office Location

Street Address 408 N WABASH AVE
City GLENDORA
State CA
Zip Code 91741-2615

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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

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1831796879 Laura Barker Contractor 55 River Oaks Pl Apt 381, San Jose, CA 95134-2074 2020-10-02
1477167054 Jarib Takezhi Concilco Colin Contractor 3862 Sherwood Pl, Sherman Oaks, CA 91423-4608 2020-09-01
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1467077404 Eric Avirett Contractor 1944 Bonita Ave, Berkeley, CA 94704-1038 2020-06-16
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1407498942 Terry Lee Moffit Contractor 1165 W 15th St, San Bernardino, CA 92411-1811 2019-10-16
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Competitor

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City GLENDORA
Zip Code 91741

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Dataset Information

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.

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