Mangum, Tamara

Mangum, Tamara is an individual health care provider with primary practice located at 1663 Noyes Ave , Irvine CA 92606. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Mangum, Tamara can be contacted via phone (949) 252-9946.

Contact Information

Primary practice address
1663 Noyes Ave Irvine CA 92606
Phone: (949) 252-9946
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 3995 California

Profile Details

NPI number 1023292299
LBN Legal business name Mangum, Tamara
Credentials B.S. OCCUPATIONAL TH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 24th, 2007
Last updated Dec 24th, 2007 - about 19 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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