Individual
ANTOUN C. MANGANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3425 COFFEE RD STE A2, MODESTO, CA 95355-1582
(209) 491-7584
(209) 491-7584
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
(916) 854-6769
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A48860
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841413
—
MI
Enumeration date
08/10/2006
Last updated
01/12/2026
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