1326038381 MANGROVE MEDICAL GROUP

Family Medicine Physician

Reactivated

Basic Information

Organization Name
MANGROVE MEDICAL GROUP
Enumeration Date
October 21, 2005
Last Update
January 4, 2022
Deactivation Date
December 16, 2021
Reactivation Date
January 4, 2022
Authorized Official
ELIZABETH A MULLINS
ADMINISTRATOR
Phone: (530) 345-0064

Practice Location

Address
1040 MANGROVE AVE
CHICO, CA 959263509
Phone
(530) 345-0064
Fax
(530) 345-0680

Mailing Address

Address
1040 MANGROVE AVE
CHICO, CA 959263509
Phone
(530) 345-0064
Fax
(530) 345-0680

Specialties & Taxonomies

Specialty Code Classification License State Primary
Dermatology Physician
207N00000X Dermatology N/A N/A No
Dermatopathology Physician
Dermatopathology
207ND0900X Dermatology N/A N/A No
Gynecology Physician
Gynecology
207VG0400X Obstetrics & Gynecology N/A N/A No
General Practice Physician
208D00000X General Practice N/A CA No
Mammography Clinic/Center
Radiology, Mammography
261QR0206X Clinic/Center RHC 110619 CA No
Clinical Medical Laboratory
291U00000X Clinical Medical Laboratory 05DO644223 CA No
Nurse Practitioner
363L00000X Nurse Practitioner N/A CA No
Family Medicine Physician
207Q00000X Family Medicine N/A CA Primary

Other Identifiers

Identifier Type State Issuer
470000743 01 CA RAILROAD MEDICARE

Frequently Asked Questions

What is MANGROVE MEDICAL GROUP's NPI number?
MANGROVE MEDICAL GROUP's NPI number is 1326038381.
Which doctor has NPI number 1326038381?
The doctor with NPI number 1326038381 is MANGROVE MEDICAL GROUP.
What is MANGROVE MEDICAL GROUP's practice address?
MANGROVE MEDICAL GROUP's practice address is 1040 MANGROVE AVE, CHICO, CA, 959263509.
Which doctor practices at 1040 MANGROVE AVE, CHICO, CA, 959263509?
MANGROVE MEDICAL GROUP practices at 1040 MANGROVE AVE, CHICO, CA, 959263509.
What is MANGROVE MEDICAL GROUP's phone number?
MANGROVE MEDICAL GROUP's phone number is (530) 345-0064.
Who is (530) 345-0064?
(530) 345-0064 is the phone number for MANGROVE MEDICAL GROUP.
What is MANGROVE MEDICAL GROUP's specialty?
MANGROVE MEDICAL GROUP's specialty is Family Medicine Physician.
What type of doctor is MANGROVE MEDICAL GROUP?
MANGROVE MEDICAL GROUP is a Family Medicine Physician.
Is MANGROVE MEDICAL GROUP a Family Medicine?
Yes, MANGROVE MEDICAL GROUP is a Family Medicine.
Is MANGROVE MEDICAL GROUP still practicing?
Yes, MANGROVE MEDICAL GROUP has reactivated their practice and is currently practicing.
Is MANGROVE MEDICAL GROUP accepting new patients?
MANGROVE MEDICAL GROUP may be accepting new patients. Please call their office at (530) 345-0064 to inquire about availability.
Is NPI 1326038381 still active?
Yes, NPI 1326038381 has been reactivated and is currently active.
Where does MANGROVE MEDICAL GROUP practice?
MANGROVE MEDICAL GROUP practices in CHICO, CA.