Search › California › 106H00000X
Fareed Mangisto
NPI 1376949479 · on the registry since 2014
Practice
- Address
- 4120 Alabama St Apt 9
San Diego, CA 92104 - Phone
- (619) 254-2876
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-20
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