Individual
DR. AJIT S MANIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 W ROMNEYA DR, STE#203, ANAHEIM, CA 92801-1830
(714) 999-1465
(714) 999-1701
Mailing address
1801 W ROMNEYA DR, STE 203, ANAHEIM, CA 92801-1824
(714) 999-1465
(714) 999-1701
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A56120
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A56120
—
CA
01
—
A56120
COMMERICAL
CA
Enumeration date
02/24/2006
Last updated
12/20/2017
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