Mbanugo, Collin A

Mbanugo, Collin A is an sole proprietor health care provider with primary practice located at 3300 Webster St Suite 900, Oakland CA 94609-3117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mbanugo, Collin A can be contacted via phone (510) 272-9610.

Contact Information

Primary practice address
3300 Webster St Suite 900 Oakland CA 94609-3117
Fax: (510) 272-9612
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 00C411000 California

Profile Details

NPI number 1134271471
LBN Legal business name Mbanugo, Collin A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jan 13th, 2016 - about 9 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 1134271471 NPPES
California MEDICAID 00C411000

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