Organization
MANOHAR R SENRA MD, INC
Active
Organization
MANOHAR R SENRA MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANOHAR R SENRA M.D. (PRESIDENT)
(562) 927-6597
Entity
Organization
Contact information
Practice address
8337 TELEGRAPH ROAD, SUITE #215, PICO RIVERA, CA 90660-4945
(562) 927-6597
(562) 927-0059
Mailing address
8337 TELEGRAPH ROAD, SUITE #215, PICO RIVERA, CA 90660-4945
(562) 927-6597
(562) 927-0059
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A36780
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A367800
—
CA
Enumeration date
08/15/2006
Last updated
08/22/2020
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