Mr George Herman Mangual, LCSW is a
Social Worker - Clinical based in San Diego, California. Mr George Herman Mangual is licensed to practice in California (license number 27419) and his current practice location is
Substance Abuse Counseling Ctr, 4025 Tripoli Avenue, Bldg 14, San Diego, California. He can be reached at his office (for appointments etc.) via phone at
(619) 524-1912.
NPI number for Mr George Herman Mangual is 1770859415 and his current mailing address is Po Box 80561, San Diego, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770859415.
Healthcare Provider's Profile
Full Name | Mr George Herman Mangual |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | Substance Abuse Counseling Ctr, San Diego, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770859415
- Provider Enumeration Date: 03/27/2012
- Last Update Date: 03/28/2012
Medical Identifiers
Medical identifiers for Mr George Herman Mangual such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770859415 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 2400 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | 27419 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr George Herman Mangual is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr George Herman Mangual, LCSW Po Box 80561, San Diego, CA 92138-0561 Ph: (619) 534-1070 | Mr George Herman Mangual, LCSW Substance Abuse Counseling Ctr, 4025 Tripoli Avenue, Bldg 14, San Diego, CA 92140-5000 Ph: (619) 524-1912 |
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