Mangasep, Concepcion R

Mangasep, Concepcion R is an individual health care provider with primary practice located at 7661 Puerto Rico Dr , Buena Park CA 90620-1270. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Mangasep, Concepcion R can be contacted via phone (213) 422-2920.

Contact Information

Primary practice address
7661 Puerto Rico Dr Buena Park CA 90620-1270
Phone: (213) 422-2920
Fax: (818) 670-7892
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A66574 California

Profile Details

NPI number 1861441701
LBN Legal business name Mangasep, Concepcion R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Jul 22nd, 2008 - about 17 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 1861441701 NPPES
California Other 123853 LACO MENTAL HEALTH
California MEDICAID 00A665740 LACO MENTAL HEALTH

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