Most Relevant Information
Provider Data
| NPI Number: | 1003664871 |
| Provider Name: | MARVIN MUNGCAL |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/08/2024 |
| Last Updated: | 05/08/2024 |
Provider Practice Location
18646 OXNARD ST APT 107F
TARZANA
CA
913561411
Practice Location Phone/Fax
| Phone: | 8189432795 |
| Fax: |
Provider Mailing Location
17171 ROSCOE BLVD APT 107F
NORTHRIDGE
CA
913255247
Provider Mailing Phone/Fax
| Phone: | 8189432795 |
| Fax: |