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General NPI Number Information
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NPI Number | 1265467252
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Entity Type | Individual
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Provider Name | FRANK A. MANGANO M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 01/26/2018
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Provider Practice Location Address
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Address Line | 40700 CALIFORNIA OAKS RD SUITE 103
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City | MURRIETA
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State | CA
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Zip | 92562-5789
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Country | US
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Telephone | 951-894-4418
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Fax | 951-894-4419
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Provider Business Mailing Address
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Address Line | 44489 TOWN CENTER WAY STE D540
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City | PALM DESERT
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State | CA
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Zip | 92260-2723
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Country | US
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Telephone | 951-304-9779
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Radiology) Physician
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License Number | G59299
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License Number State | CA
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