SearchCalifornia101Y00000X

Samira Mandegary

NPI 1710275466 · on the registry since 2011 · sole proprietor

Practice

Address
1615 E 17th St
Suite 100
Santa Ana, CA 92705
Phone
(714) 640-9588
Organisation at this address
Phoenix House Orange County, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
39

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-02-26

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