Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sousita Bangon Emanivong

Individual provider Case Manager/Care Coordinator · NPI 1720947807

Sousita Bangon Emanivong is a Case Manager/Care Coordinator in Merced, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

547 W Main St
Merced, CA 95340-4715
Phone: (209) 384-1205
Fax: (209) 318-1380
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (CA)

Record details

NPI number1720947807
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 15, 2026
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026

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