Individual
MARVIN MUNGCAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18646 OXNARD ST APT 107F, TARZANA, CA 91356-1411
(818) 943-2795
Mailing address
17171 ROSCOE BLVD APT 107F, NORTHRIDGE, CA 91325-5247
(818) 943-2795
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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