MANGROVE MEDICAL GROUP
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1326038381- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1040 MANGROVE AVE, CHICO, CA, 959263509
- Phone
- (530) 345-0064
- Fax
- (530) 345-0680
Specialties & Taxonomies
Dermatology
Dermatology, Dermatopathology
Family Medicine
Primary License: CA
Obstetrics & Gynecology, Gynecology
General Practice
License: CA
Clinic/Center, Radiology, Mammography
License: CA #RHC 110619
Clinical Medical Laboratory
License: CA #05DO644223
Nurse Practitioner
License: CA