Individual
DR. EDGAR ESTUARDO MANZANERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(619) 543-6222
Mailing address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(619) 543-6222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A127017
CA
Other
Enumeration date
11/04/2011
Last updated
09/23/2016
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