Provider Demographics
NPI:1679794051
Name:MANGALINDAN, MARIA INAH CIMARRA (DPT)
Entity Type:Individual
Prefix:DR
First Name:MARIA INAH
Middle Name:CIMARRA
Last Name:MANGALINDAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9404 ARMSTRONG DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94603-3020
Mailing Address - Country:US
Mailing Address - Phone:510-229-7909
Mailing Address - Fax:
Practice Address - Street 1:9404 ARMSTRONG DR
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94603-3020
Practice Address - Country:US
Practice Address - Phone:510-229-7909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2023-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34710225100000X
NY62 023644225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist