Individual
UMENGSINH GAMELSINH MANGROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
374 W OLIVE AVE STE A, MERCED, CA 95348-3181
(209) 384-5766
Mailing address
PO BOX 3768, MERCED, CA 95344-3768
(209) 723-3704
(209) 723-0272
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16980
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1059963
NCCPA CERT #
CA
Enumeration date
11/23/2005
Last updated
03/07/2023
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