Mangonon, Jessica Colleen

Mangonon, Jessica Colleen is an individual health care provider with primary practice located at 16300 Sand Canyon Ave #811, Irvine CA 92618-3711. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mangonon, Jessica Colleen can be contacted via phone (949) 753-9000.

Contact Information

Primary practice address
16300 Sand Canyon Ave #811 Irvine CA 92618-3711
Phone: (949) 753-9000
Fax: (949) 753-5044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A128287 California

Profile Details

NPI number 1962769968
LBN Legal business name Mangonon, Jessica Colleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2012
Last updated Jun 1st, 2017 - about 9 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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