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Organization
MANOLITO B. FIDEL, M.D., INC
Active
Organization
MANOLITO B. FIDEL, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANOLITO B FIDEL MD (OWNER/PROVIDER)
(424) 400-7748
Entity
Organization
Contact information
Practice address
23700 CAMINO DEL SOL, TORRANCE, CA 90505-5017
(310) 530-1151
(310) 626-9390
Mailing address
28919 COVECREST DR, RANCHO PALOS VERDES, CA 90275-4703
(424) 400-7748
(424) 400-7749
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A81909
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A819090
—
CA
Enumeration date
10/26/2011
Last updated
01/10/2024
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