Individual provider · Type 1 NPI
Leo Ernie Manangan Domingo, NP
Psychiatric/Mental Health Nurse Practitioner · Long Beach, CA
NPI number
1073281754
Active
Practice location
5601 Atlantic Ave
Long Beach, CA 90805-4710
Mailing address
929 E 3rd St
Santa Ana, CA 92701-4906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95018365 (CA) |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 827301 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1073281754
Leo Ernie Manangan Domingo, NP's National Provider Identifier is 1073281754, issued on Aug 30, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Long Beach, CA. The record was last updated on Aug 5, 2026.