Individual provider · Type 1 NPI

Sandy C. Mangan, CLINICAL INTERN

Student in an Organized Health Care Education/Training Program · Oakland, CA

NPI number 1114889953 Active

Practice location

3800 Coolidge Ave
Oakland, CA 94602-3311

Call (510) 482-2244 Map

Mailing address

39 Santa Ana Dr
Pleasant Hill, CA 94523-2324

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114889953

Sandy C. Mangan, CLINICAL INTERN's National Provider Identifier is 1114889953, issued on Dec 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oakland, CA. The record was last updated on Dec 1, 2025.