Mangaoang, Alyssa

Mangaoang, Alyssa is an sole proprietor health care provider with primary practice located at 424 Peninsula Ave , San Mateo CA 94401-1653. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mangaoang, Alyssa can be contacted via phone (650) 286-4396.

Contact Information

Primary practice address
424 Peninsula Ave San Mateo CA 94401-1653
Phone: (650) 286-4396
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X California

Profile Details

NPI number 1821795071
LBN Legal business name Mangaoang, Alyssa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2023
Last updated Feb 8th, 2023 - about 3 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 1821795071 NPPES
California MEDICAID 97131900H22307
California Other 1471180048

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