Healthcare Provider Details

I. General information

NPI: 1922201631
Provider Name (Legal Business Name): JULIE MARIE TOROK-MANGASARIAN M.A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1847 ROBINSON ST
OROVILLE CA
95965-4860
US

IV. Provider business mailing address

PO BOX 8
OROVILLE CA
95965-0008
US

V. Phone/Fax

Practice location:
  • Phone: 530-552-2105
  • Fax:
Mailing address:
  • Phone: 530-552-2105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC 47212
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: