<Unavail>
LBN: Mangrove Medical Group
<Unavail> is an health care organization with primary practice located at 1040 Mangrove Ave , Chico CA 95926-3509. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Radiology, Mammography, Laboratories / Clinical Medical Laboratory, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Mangrove Medical Group can be contacted via phone (530) 345-0064, or through Mullins, Elizabeth A via phone (530) 345-0064.
Contact Information
Primary practice address
1040 Mangrove Ave
Chico CA 95926-3509
Phone: (530) 345-0064
Fax: (530) 345-0680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | California | |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | California | |
| Ambulatory Health Care Facilities / Radiology, Mammography | 261QR0206X | RHC 110619 | California |
| Laboratories / Clinical Medical Laboratory | 291U00000X | 05DO644223 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | California |
Profile Details
| NPI number | 1326038381 |
|---|---|
| LBN Legal business name | Mangrove Medical Group |
| DBA Doing business as | <Unavail> |
| Authorized official | Mullins, Elizabeth A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Jan 4th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326038381 | NPPES |
| California | Other | 470000743 | RAILROAD MEDICARE |
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