Mancuso, Scott Anthony

Mancuso, Scott Anthony is an individual health care provider with primary practice located at 7755 Center Ave Ste 630 , Huntington Beach CA 92647-9152. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mancuso, Scott Anthony can be contacted via phone (657) 400-5180.

Contact Information

Primary practice address
7755 Center Ave Ste 630 Huntington Beach CA 92647-9152
Phone: (657) 400-5180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31889 Arizona

Profile Details

NPI number 1962497024
LBN Legal business name Mancuso, Scott Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Oct 28th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962497024 NPPES
Arizona MEDICAID 874132-01

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