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Desiree Castaneda Angulo

Student in an Organized Health Care Education/Training Program in Victorville, CA. Individual provider (NPI-1).

NPI number1649986803
StatusActive
Last updated in NPPESJul 14, 2026

Details

NPI
1649986803
Entity type
Individual (NPI-1)
Name
Desiree Castaneda Angulo
Sex
Female
Sole proprietor
No
Enumeration date
Jan 30, 2023
Certification date
Jul 14, 2026
Last updated
Jul 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–CAYes
101Y00000X Counselor––
101YM0800X Counselor, Mental Health––
171M00000X Case Manager/Care Coordinator––
225400000X Rehabilitation Practitioner––

Practice location

15345 Bonanza Rd
Victorville, CA 92392-2499

Phone 909-387-7380

Mailing address

15175 Lake St
Adelanto, CA 92301-4818

Phone 760-265-0435

Other practice locations

755 E Gilbert
San Bernardino, CA 92415-2499

Phone 909-387-7380

1950 S Sunwest Lane Suite 200
San Bernardino, CA 92418-2499

Phone 909-252-4044

1556 S Sultana Ave
Ontario, CA 91761-4238

Phone 909-418-6923 · Fax 909-418-6937

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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