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Angela Kondo
Psychiatric/Mental Health Nurse Practitioner in Campbell, California
NPI 1033755053

Angela Kondo is a Psychiatric/Mental Health Nurse Practitioner based in Campbell, CA and is specialized in Psychiatric/Mental Health. Angela Kondo practices in Campbell, CA. The NPI Number for Angela Kondo is 1033755053 and holds a License No. 95017017 (California).

The current practice location address for Angela Kondo is 2542 S Bascom Ave Ste 100, Campbell, CA and can be reached out via phone at 408-559-3403.

Location: 2542 S Bascom Ave Ste 100, Campbell, CA, 95008-5541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033755053
Provider Name
Angela Kondo
Credential
Provider Entity Type
Individual
Gender
Female
Address
2542 S Bascom Ave Ste 100, Campbell, CA, 95008-5541
Phone Number
408-559-3403
Fax Number
Provider Enumeration Date
11/25/2019
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
2542 S Bascom Ave Ste 100
City
Campbell
State
California
Zip
95008-5541
Phone Number
408-559-3403
Fax Number
person
Provider Business Mailing Address Details
Address
2542 S Bascom Ave Ste 100
City
Campbell
State
California
Zip
95008-5541
Phone Number
408-559-3403
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95017017 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
95017017 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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