Individual
KANWALDEEP MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17036 S HARLAN RD STE 107, LATHROP, CA 95330-8739
(949) 805-0668
(949) 805-0668
Mailing address
17036 S HARLAN RD STE 107, LATHROP, CA 95330-8739
(949) 805-0668
(949) 805-0668
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30733
OK
2084P0800X
Psychiatry Physician
A155565
CA
Other
Enumeration date
06/13/2014
Last updated
07/31/2026
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