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Organization
ANDREW J. MANOS D.O., INC.
Active
Organization
ANDREW J. MANOS D.O., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW JAMES MANOS D.O. (PRESIDENT)
(562) 498-0029
Entity
Organization
Contact information
Practice address
1760 TERMINO AVE, SUITE 222, LONG BEACH, CA 90804-2105
(562) 498-0029
Mailing address
1760 TERMINO AVE, SUITE 222, LONG BEACH, CA 90804-2105
(562) 498-0029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A4530
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W12027
MEDICARE GROUP NUMBER
—
Enumeration date
12/03/2007
Last updated
04/16/2008
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