Doctor Name: | DR. ANGELA MARIE BACHMANN |
NPI Number: | 1619947330 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 01057860A |
Business Practice Address: | Marine Aircraft Group 39 Box 555750 Camp Pendleton, CA - 920555750 |
Business Phone Number: | 7607253584 |
Business Fax Number: | |
Mailing Address: | 11142 Polaris Dr, SAN DIEGO |
State: | CA |
Postal Code: | 921264702 |
Phone Number: | 8585367153 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01057860A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |