| Marcelo-mangune Medical Corporation | |
|
16660 Paramount Blvd Ste 110 Paramount CA 90723-5457 | |
| (562) 633-2021 | |
| (562) 408-6248 |
| Full Name | Marcelo-mangune Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 16660 Paramount Blvd Ste 110, Paramount, California |
| Authorized Official Name and Position | Florencia Mangune (FAMILY MEDICINE DOCTOR) |
| Authorized Official Contact | 5626332021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcelo-mangune Medical Corporation 16660 Paramount Blvd Ste 110 Paramount CA 90723-5457 Ph: (562) 633-2021 | Marcelo-mangune Medical Corporation 16660 Paramount Blvd Ste 110 Paramount CA 90723-5457 Ph: (562) 633-2021 |
| NPI Number | 1437427119 |
|---|---|
| Provider Enumeration Date | 12/08/2011 |
| Last Update Date | 12/08/2011 |
| Medicare PECOS PAC ID | 2860751849 |
|---|---|
| Medicare Enrollment ID | O20180119002013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437427119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A417440 (California) | Primary |
| Provider Name | Edwin M Mangune |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003047978 PECOS PAC ID: 2769741750 Enrollment ID: I20180123002618 |
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