Mangiardi, Mario

Mangiardi, Mario is an individual health care provider with primary practice located at 1900 S Mcdowell Blvd , Petaluma CA 94954-5473. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Mangiardi, Mario can be contacted via phone (707) 699-6100.

Contact Information

Primary practice address
1900 S Mcdowell Blvd Petaluma CA 94954-5473
Phone: (707) 699-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A153617 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MT209621 Pennsylvania
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X A153617 California

Profile Details

NPI number 1023490828
LBN Legal business name Mangiardi, Mario
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2015
Last updated Jul 27th, 2022 - about 3 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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