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Search › California › 152W00000X

Raul Mancilla, O.D

NPI 1487706198 · on the registry since 2007

Practice

Address
435 W Aten Rd Ste 3
Imperial, CA 92251
Phone
(760) 284-1442
Fax
(760) 203-3930
Organisation at this address
R Alex Mancilla Od Pc
Deen Enterprises Medical Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-03

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