Concepcion R Mangasep M.d, Inc. | |
7661 Puerto Rico Dr Buena Park CA 90620-1270 | |
(702) 818-6032 | |
(714) 363-5539 |
Full Name | Concepcion R Mangasep M.d, Inc. |
---|---|
Speciality | Psychiatric Unit |
Location | 7661 Puerto Rico Dr, Buena Park, California |
Authorized Official Name and Position | Concepcion Reyes Mangasep (MEDICAL DOCTOR) |
Authorized Official Contact | 7028186032 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Concepcion R Mangasep M.d, Inc. 7661 Puerto Rico Drive Buena Park CA 90620-1270 Ph: (702) 818-6032 | Concepcion R Mangasep M.d, Inc. 7661 Puerto Rico Dr Buena Park CA 90620-1270 Ph: (702) 818-6032 |
NPI Number | 1356743017 |
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Provider Enumeration Date | 09/24/2014 |
Last Update Date | 09/24/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356743017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | A66574 (California) | Primary |
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