Individual provider · Type 1 NPI

Mamanding Nasso

Military Health Care Provider · San Diego, CA

NPI number 1184570525 Active

Practice location

34800 Bob Wilson Dr San
San Diego, CA 92134-5000

Call (508) 801-6653 Map

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1184570525

Mamanding Nasso's National Provider Identifier is 1184570525, issued on Mar 9, 2026. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in San Diego, CA. The record was last updated on Mar 9, 2026.