SearchCalifornia101YA0400X

Miguel Mandujano

NPI 1225951684 · on the registry since 2026 · sole proprietor

Practice

Address
641 Broadway St
King City, CA 93930
Phone
(831) 525-8101
Organisation at this address
Sun Street Centers
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California