Individual
DR. CAROLYN J MANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2356 SUTTER ST STE J-140, SAN FRANCISCO, CA 94115-3006
(415) 885-7788
(415) 353-9551
Mailing address
PO BOX 60000, FILE 72484, SAN FRANCISCO, CA 94160-0001
(650) 498-6500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A75180
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MMM00087M
NHIC
CA
Enumeration date
04/12/2006
Last updated
12/02/2022
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