| Doctor Name: | ANGELA INGENDAAY |
| NPI Number: | 1952461295 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | A52909 |
| Business Practice Address: | 150 S Auburn St Grass Valley, CA - 959456576 |
| Business Phone Number: | 5302720537 |
| Business Fax Number: | |
| Mailing Address: | Po Box 856, OREGON HOUSE |
| State: | CA |
| Postal Code: | 959620856 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/09/2006 |
| NPI Last Update Date: | 08/31/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A52909 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |