Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SAN MANUEL MEDICAL CLINIC INC.
Active
Organization
SAN MANUEL MEDICAL CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANJANA SURA M.D. (DIRECTOR)
(323) 584-8881
Entity
Organization
Contact information
Practice address
7400 PACIFIC BLVD, STE A, WALNUT PARK, CA 90255-5739
(323) 584-8881
(323) 584-8882
Mailing address
7400 PACIFIC BLVD, STE A, WALNUT PARK, CA 90255-5739
(323) 584-8881
(323) 584-8882
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A30390
CA
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up