Search › California › 363LA2200X

Matilda Mangan, NP

NPI 1972035442 · on the registry since 2017 · sole proprietor

Practice

Address
42756 Portraits Ln
Temecula, CA 92592
Phone
(949) 351-3238

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
364SG0600X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-04-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California