Individual
ANTHONY MANGROBANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3111 CAMINO DEL RIO N STE 500, SAN DIEGO, CA 92108-5725
(185) 824-4517
Mailing address
100 N. PCH HWY, SUITE 1400, EL SEGUNDO, CA 90245
(310) 856-0800
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-78623
CA
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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