| Doctor Name: | MR. MARCUS STEVEN ANGULO |
| NPI Number: | 1124486568 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | N.P |
| License Number: | 95003536 |
| Business Practice Address: | 56-119 Pualalea St Kahuku, HI - 967312052 |
| Business Phone Number: | 8082939231 |
| Business Fax Number: | 8082931511 |
| Mailing Address: | 56-119 Pualalea St, KAHUKU |
| State: | HI |
| Postal Code: | 967312052 |
| Phone Number: | 8082939231 |
| Fax Number: | 8082931511 |
| NPI Enumeration Date: | 01/30/2016 |
| NPI Last Update Date: | 03/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 95003536 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |