Provider Demographics
NPI:1730491846
Name:MANGLANI, UMESH RAJKUMAR (MPHARM)
Entity Type:Individual
Prefix:MR
First Name:UMESH
Middle Name:RAJKUMAR
Last Name:MANGLANI
Suffix:
Gender:M
Credentials:MPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 N VENTURA RD STE G
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-3827
Mailing Address - Country:US
Mailing Address - Phone:805-330-4077
Mailing Address - Fax:805-292-0800
Practice Address - Street 1:1200 N VENTURA RD STE G
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-3827
Practice Address - Country:US
Practice Address - Phone:805-330-4077
Practice Address - Fax:805-292-0800
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-06
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60973183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist