Marcelo-Mangune Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MARCELO-MANGUNE MEDICAL CORPORATION

Practice address

9604 Artesia Blvd Ste 102
Bellflower, CA 90706-8041

Phone

(562) 633-2021

Fax

(562) 408-6248

NPI assigned

Dec 8, 2011

Organization subpart

No

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

Authorized official

Name

Edwin Mangune, MDNPI 1003047978

Title

Ceo

Phone

(562) 633-2021

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edwin Marcelo Mangune, M.D.

  • Family Medicine Physician
  • Bellflower, CA
  • NPI 1003047978
  Medicare reassignment NPD Authorized official
• Morenne Almanza, PA-C

  • Physician Assistant
  • Newport Beach, CA
  • NPI 1598313439

  Family Medicine

  NPD
• Yin Phung

  • Medical Physician Assistant
  • Paramount, CA
  • NPI 1629499934
  NPD (past)

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1437427119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9604 ARTESIA BLVD STE 102",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907068041",
            "telephone_number": "562-633-2021",
            "fax_number": "562-408-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9604 ARTESIA BLVD STE 102",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907068041",
            "telephone_number": "562-633-2021",
            "fax_number": "562-408-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELO-MANGUNE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "MANGUNE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-633-2021",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sangarappillai Manoharan, MD
• Dawn Rose-Marie Manriquez, NP-C
• Manuel Roman Dental Corp
• Chanelle Rose Manuel
• Karen E. Maples, MD
• Rudy Esau Marchorro Jr, CPT
• Maricela Mares
• Maria Lovell Denolo Chavez DMD Inc
• Nicole Rae Mariscal, COTA/L
• Mark Alpert O.D.

• Primary Care Clinic/Center in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.