Individual
MANISHA S. KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3811 VALLEY CENTRE DR, SAN DIEGO, CA 92130-3318
(858) 764-3465
Mailing address
54433 FILE, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
20A7919
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX79190
—
CA
01
—
020A79190
BLUE SHIELD OF CA
—
01
—
A081
CHAMPUS
—
01
—
B078
CHAMPUS
—
Enumeration date
09/01/2006
Last updated
06/26/2009
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