Amanda Anne Engel

Individual provider Active NPI Case Manager/Care Coordinator · Portola, CA

NPI 1760294227 · NPPES record last updated Jan 22, 2025

Key facts

NPI
1760294227
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
895 West St
Portola, CA 96122-6502
Phone
(530) 832-0211
NPI assigned
Jan 22, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CA Yes

Addresses

Primary practice location

895 West St
Portola, CA 96122-6502

Mailing address

895 West St
Portola, CA 96122-6502
Phone (530) 832-0211

Other providers in Portola, CA

All providers in Portola, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.