Provider Demographics
NPI:1548490964
Name:DELOA, ANGELIKA (MD)
Entity type:Individual
Prefix:
First Name:ANGELIKA
Middle Name:
Last Name:DELOA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANGELIKA
Other - Middle Name:
Other - Last Name:TAKACS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3010 BEARD RD
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3442
Mailing Address - Country:US
Mailing Address - Phone:707-255-8825
Mailing Address - Fax:707-252-9325
Practice Address - Street 1:500 UNIVERSITY AVE STE 112
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6514
Practice Address - Country:US
Practice Address - Phone:916-570-2850
Practice Address - Fax:916-570-2854
Is Sole Proprietor?:No
Enumeration Date:2009-07-20
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD203714207Q00000X
WAML60095740207Q00000X
CAA121429207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine