Individual
NIKITA M MANIAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
625 S FAIR OAKS AVE STE 227, PASADENA, CA 91105-2688
(626) 639-2902
(626) 547-6373
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
C206035
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760612105
—
MO
Enumeration date
09/27/2017
Last updated
12/05/2025
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