Individual ProviderRyan Regineel MangalStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address20 River Pl W, Fresno, CA 93720(559) 256-4968(209) 918-9885PECOS EnrollmentBased on the most recent information from CMS, provider Ryan Regineel Mangal does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1356182810Provider TypeIndividualFull NameMangal, Ryan RegineelGenderMaleSole ProprietorYesEnumeration Date6/6/2024Last Updated6/6/2024Contact InformationPractice LocationPractice Address20 River Pl W, Fresno, CA 93720Phone(559) 256-4968FaxUnlisted FaxMailing LocationMailing Address3978 Vista Grande Dr, San Diego, CA 92115-6734Phone(209) 918-9885FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer