Concepcion R Mangasep M.D, Inc.

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

A66574 Issued in CA

Legal business name

CONCEPCION R MANGASEP M.D, INC.

Practice address

7661 Puerto Rico Dr
Buena Park, CA 90620-1270

Phone

(702) 818-6032

Fax

(714) 363-5539

NPI assigned

Sep 24, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Concepcion Reyes Mangasep, M.D

Title

Medical Doctor

Phone

(702) 818-6032

Specialties & licenses 1

Addresses

Tax ID family

Concepcion Mangasep MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Concepcion Mangasep M.D., Inc.

  • Specialist
  • Gardena, CA
  • NPI 1013104025
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1356743017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7661 PUERTO RICO DRIVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201270",
            "telephone_number": "702-818-6032",
            "fax_number": "714-363-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7661 PUERTO RICO DR",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201270",
            "telephone_number": "702-818-6032",
            "fax_number": "714-363-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPCION R MANGASEP M.D, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "MANGASEP",
        "authorized_official_first_name": "CONCEPCION",
        "authorized_official_middle_name": "REYES",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "702-818-6032",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "CA",
            "license": "A66574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric Hospital Unit in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Psychiatric Hospital Unit in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.