Provider Demographics
NPI:1538166764
Name:LAMOTTE, ANGELA JOY (MD)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:JOY
Last Name:LAMOTTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:200 OCEANGATE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-4317
Mailing Address - Country:US
Mailing Address - Phone:562-437-0373
Mailing Address - Fax:877-469-3631
Practice Address - Street 1:1900 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-5502
Practice Address - Country:US
Practice Address - Phone:562-437-0373
Practice Address - Fax:877-469-3631
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG71109207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G711090OtherMEDI CAL
CA00G711090OtherMEDI CAL