Provider Demographics
NPI:1366108334
Name:ERDMANN, ANGELA MARY (DC)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:MARY
Last Name:ERDMANN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 MEDCLIFF RD
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93109-1817
Mailing Address - Country:US
Mailing Address - Phone:805-637-3788
Mailing Address - Fax:
Practice Address - Street 1:1 N CALLE CESAR CHAVEZ
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-3662
Practice Address - Country:US
Practice Address - Phone:805-962-3278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-12
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC36181111NS0005X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician