Mangin, Atlantide
Mangin, Atlantide is an sole proprietor health care provider with primary practice located at 2410 E St , San Diego CA 92102-2024. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mangin, Atlantide can be contacted via phone (619) 234-3346.Contact Information
Primary practice address
2410 E St
San Diego CA 92102-2024
Phone: (619) 234-3346
Fax: (619) 234-3357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1679030035 |
|---|---|
| LBN Legal business name | Mangin, Atlantide |
| Credentials | APCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2019 |
| Last updated | Feb 21st, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679030035 | NPPES |
| California | MEDICAID | 5575 |
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