Individual
MR. LEONARDO MANGILIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10605 BALBOA BLVD STE 100, GRANADA HILLS, CA 91344-6367
(818) 832-2410
Mailing address
10605 BALBOA BLVD STE 100, GRANADA HILLS, CA 91344-6367
(818) 832-2410
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN488741
CA
Other
Enumeration date
10/25/2006
Last updated
01/24/2013
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