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Organization
SHAHRYAR MANAVI M D INC
Active
Organization
SHAHRYAR MANAVI M D INC
Active
Other names
CENTRAL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA LUVIA HERNANDEZ (OFFICE MANAGER)
(818) 241-0970
Entity
Organization
Contact information
Practice address
214 N CENTRAL AVE, GLENDALE, CA 91203-3556
(818) 241-0970
(818) 638-0024
Mailing address
214 N CENTRAL AVE, GLENDALE, CA 91203-3556
(818) 241-0970
(818) 638-0024
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A67461
CA
174400000X
Specialist
A85995
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0091520
—
CA
Enumeration date
04/03/2006
Last updated
10/28/2008
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