Most Relevant Information
Provider Data
| NPI Number: | 1003047978 |
| Provider Name: | EDWIN MARCELO MANGUNE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | A120558 |
Most Important Dates
| Enumeration Date: | 07/27/2009 |
| Last Updated: | 09/23/2021 |
Provider Practice Location
9604 ARTESIA BLVD STE 102
BELLFLOWER
CA
907068041
Practice Location Phone/Fax
| Phone: | 5626332021 |
| Fax: | 5624086248 |
Provider Mailing Location
9604 ARTESIA BLVD STE 102
BELLFLOWER
CA
907068041
Provider Mailing Phone/Fax
| Phone: | 5626332021 |
| Fax: | 5624086248 |
Suggested EMR
Family Practice EMR