Individual
CZARINA DIANNE VICTOR MANGAOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1135 S SUNSET AVE STE 401, WEST COVINA, CA 91790-3921
(626) 732-4137
Mailing address
1135 S SUNSET AVE STE 401, WEST COVINA, CA 91790-3921
(818) 661-7666
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A205238
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2022
Last updated
02/06/2026
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