Mangrove Medical Group in Chico - Dermatology

Mangrove Medical Group - NPI 1326038381

Mangrove Medical Group is a Dermatology in Chico, California. Mangrove Medical Group practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Mangrove Medical Group is 1326038381. The last update date is 2022-01-04.

Mangrove Medical Group's current location address is 1040 Mangrove Ave, Chico, California. You can contact this provider via phone number 5303450064 and fax number 5303450680. The mailing address for Mangrove Medical Group is 1040 Mangrove Ave, Chico, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mangrove Medical Group
Address 1040 Mangrove Ave, Chico, California
Phone Number 5303450064
Fax Number 5303450680
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Mullins A Elizabeth
Telephone Number 5303450064

NPI Number Detail

NPI Number 1326038381
Provider Enumeration Date 2005-10-21
Last Updated Date 2022-01-04

Provider Mailing Address Detail

Address 1040 Mangrove Ave
City Chico
State California (CA)
Post Code 959263509
Phone Number 5303450064
Fax Number 5303450680

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
470000743 CA RAILROAD MEDICARE

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FAQs about Mangrove Medical Group

What is the unique identifier code issued to Mangrove Medical Group by the Centers for Medicare & Medicaid Services?

The Mangrove Medical Group has been assigned the NPI (National Provider Identifier) 1326038381. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Mangrove Medical Group's facilities are geographically located?

The facilities of Mangrove Medical Group are physically situated at the following location: 1040 Mangrove Ave, Chico, CA, 959263509.

What is the Mangrove Medical Group's specialty and taxonomy code?

The Mangrove Medical Group's specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.

On what date did the Mangrove Medical Group receive its 1326038381 assignment from the Centers for Medicare & Medicaid Services?

The Mangrove Medical Group was assigned its 1326038381 by the Centers for Medicare & Medicaid Services on 2005-10-21.

When was the information regarding Mangrove Medical Group, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mangrove Medical Group, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-01-04.

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