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ANGELA ISKANDAR ANAK-AGUNG-GEDE PA
NPI 1790912103
Physician Assistant - Medical in Chula Vista, CA

Active since June 12, 2009
480 4TH AVENUE, SUITE 307, CHULA VISTA, CA 91910(619) 426-3240(619) 426-5964 Get Directions Write a Review

NPPES record last updated: September 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angela Iskandar Anak-agung-gede Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA ISKANDAR ANAK-AGUNG-GEDE PA (NPI 1790912103) is an individual medical provider in Chula Vista, California, licensed in California (19998) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1790912103
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANGELA ISKANDAR ANAK-AGUNG-GEDECredential: PA
Location Address480 4TH AVENUE, SUITE 307Chula Vista, CA 91910
Mailing Address480 4th Avenue, Suite 307Chula Vista, CA 91910 · (619) 426-3240 · Fax (619) 426-5964
Phone(619) 426-3240
Fax(619) 426-5964
Sole ProprietorYes
Enumeration DateJune 12, 2009
Last NPPES UpdateSeptember 20, 2011
✔ NPI 1790912103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · 19998
480 4TH AVENUE, Chula Vista, CA 91910
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Other Names 1

Former Name (1)Angela Gracia Iskandar

Other Identifiers 1

Other19998CA · State License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Anak-agung-gede's NPI number?

The NPI number for Angela Anak-agung-gede is 1790912103. It was assigned to this individual provider in the NPPES registry on June 12, 2009. The provider is also known as Angela Gracia Iskandar.

Where is Angela Anak-agung-gede located?

Angela Anak-agung-gede practices at 480 4th Avenue Suite 307, Chula Vista, CA 91910. The listed phone number is (619) 426-3240.

What is Angela Anak-agung-gede's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Angela Anak-agung-gede was last updated on September 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.