Organization
DANIEL O. MONGIANO, MD, A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
AV Occupational Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE BAHLMAN (BILLER)
(661) 951-9195
Entity
Organization
Contact information
Practice address
42220 10TH ST W, STE 109, LANCASTER, CA 93534-7075
(661) 951-9195
Mailing address
42220 10TH ST W, STE 109, LANCASTER, CA 93534-7075
(661) 951-9195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A54903
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A549030
—
CA
Enumeration date
07/13/2006
Last updated
02/18/2014
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