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.