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Individual

MR. JOSEPH A MANZINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18351 BEACH BLVD., SUITE C, HUNTINGTON BEACH, CA 92648-1346
(714) 841-6529
(714) 841-6429
Mailing address
18351 BEACH BLVD., SUITE C, HUNTINGTON BEACH, CA 92648-1346
(714) 841-6529
(714) 841-6429

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G62860
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G628601
CA
Enumeration date
08/04/2006
Last updated
08/07/2014
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