| Manzana Family Medicine Llc | |
|
2410 Commerce Trl Imperial CA 92251-4003 | |
| (760) 332-8688 | |
| Not Available |
| Full Name | Manzana Family Medicine Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2410 Commerce Trl, Imperial, California |
| Authorized Official Name and Position | Mari Carlo Bicierro Manzana (CEO) |
| Authorized Official Contact | 6617141560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manzana Family Medicine Llc Po Box 66 Imperial CA 92251-0066 Ph: (661) 714-1560 | Manzana Family Medicine Llc 2410 Commerce Trl Imperial CA 92251-4003 Ph: (760) 332-8688 |
| NPI Number | 1093325375 |
|---|---|
| Provider Enumeration Date | 08/03/2020 |
| Last Update Date | 08/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093325375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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