Doctor Name: | DR. FRANK A. MANGANO |
NPI Number: | 1265467252 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G59299 |
Business Practice Address: | 40700 California Oaks Rd Suite 103 Murrieta, CA - 925625789 |
Business Phone Number: | 9518944418 |
Business Fax Number: | 9518944419 |
Mailing Address: | 44489 Town Center Way, Ste. D PALM DESERT |
State: | CA |
Postal Code: | 922602789 |
Phone Number: | 7607769777 |
Fax Number: | 7607764999 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 02/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G59299 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |