Mangan, Daniel James

Mangan, Daniel James is an individual health care provider with primary practice located at 41653 Margarita Rd Suite 101, Temecula CA 92591-2906. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mangan, Daniel James can be contacted via phone (951) 296-0400.

Contact Information

Primary practice address
41653 Margarita Rd Suite 101 Temecula CA 92591-2906
Phone: (951) 296-0400
Fax: (951) 296-5162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT24351 California

Profile Details

NPI number 1720062581
LBN Legal business name Mangan, Daniel James
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Jan 17th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720062581 NPPES
California Other OPT243510 BLUE SHIELD
California Other 0208672 BLUE SHIELD

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