Mario Mangiardi
Neurologist
1601 Cummins Dr Ste D
Modesto
, California 95358-6411
Mario Mangiardi
Neurologist
1601 Cummins Dr Ste D
Modesto
, California 95358-6411
(510) 900-3125
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Mario Mangiardi
- 1601 Cummins Dr Ste D
- Modesto, CA
- Zip : 95358-6411
- Phone : (510) 900-3125
Second Address
- Mario Mangiardi
- 1601 Cummins Dr Ste D
- Modesto, CA
- Zip : 95358-6411
- Phone : (510) 900-3125
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | A153617 | CA |
National Provider Identifier
| NPI | 1023490828 |
|---|---|
| Provider Name | Mario Mangiardi |
| First Address | Modesto, CA 95358-6411 |
| Second Address | Modesto, CA 95358-6411 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2015 |
| Last Update Date | 26/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.