Mari Carlo Manzana, M.d., Inc. | |
2410 Commerce Trl Imperial CA 92251-4003 | |
(661) 714-1560 | |
Not Available |
Full Name | Mari Carlo Manzana, M.d., Inc. |
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Speciality | Clinic/center |
Location | 2410 Commerce Trl, Imperial, California |
Authorized Official Name and Position | Mari Carlo Manzana (CEO) |
Authorized Official Contact | 6617141560 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mari Carlo Manzana, M.d., Inc. Po Box 66 Imperial CA 92251-0066 Ph: (760) 332-8688 | Mari Carlo Manzana, M.d., Inc. 2410 Commerce Trl Imperial CA 92251-4003 Ph: (661) 714-1560 |
NPI Number | 1336752526 |
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Provider Enumeration Date | 08/26/2020 |
Last Update Date | 09/05/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336752526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Manzana Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2410 Commerce Trl, Imperial, CA 92251 Phone: 760-332-8688 | |
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