Mangan, Matilda Manka

Mangan, Matilda Manka is an sole proprietor health care provider with primary practice located at 42756 Portraits Ln , Temecula CA 92592. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Mangan, Matilda Manka can be contacted via phone (949) 351-3238.

Contact Information

Primary practice address
42756 Portraits Ln Temecula CA 92592
Phone: (949) 351-3238
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP95006288 California
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X NP95006288 California

Profile Details

NPI number 1972035442
LBN Legal business name Mangan, Matilda Manka
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2017
Last updated Apr 3rd, 2017 - about 8 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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