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Contact Information

ABIGAIL MONDRAGON
940 E WILLIAMS ST SUITE 102
BANNING, CA92220
 Phone: 951-588-2553
 Fax: 951-755-8992
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for ABIGAIL MONDRAGON · (Female)

NPI # 1962279695
Status Active
Credentials
Entity Individual
Enumeration date 12/04/2023
Last updated 07/09/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # MPSS-DCHAEP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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