Individual
DANIEL MANJARREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
702 WAKE AVE, EL CENTRO, CA 92243-7502
(760) 352-7216
(760) 352-1028
Mailing address
702 WAKE AVE, EL CENTRO, CA 92243-7502
(760) 352-7216
(760) 352-1028
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A53832
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A53832
MEDICAL LICENSE
CA
Enumeration date
08/17/2005
Last updated
02/28/2023
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