Individual
RAINIER A MANZANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 E CESAR E CHAVEZ AVE, SUITE 125, LOS ANGELES, CA 90033-2464
(323) 441-1122
(323) 441-1172
Mailing address
1701 E CESAR E CHAVEZ AVE, SUITE 125, LOS ANGELES, CA 90033-2464
(323) 441-1122
(323) 441-1172
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
G61710
CA
Other
Enumeration date
11/03/2006
Last updated
10/04/2012
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