Organization
SOHAIL MANZOOR, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NENA MACIEL (MANAGER)
(760) 981-7452
Entity
Organization
Contact information
Practice address
12830 HESPERIA RD, SUITE D, VICTORVILLE, CA 92395-7788
(760) 981-7452
Mailing address
12740 HESPERIA RD, SUITE B, VICTORVILLE, CA 92395-8306
(760) 981-7452
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
A132832
CA
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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