Individual
DANIEL S MANAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18345 VENTURA BLVD STE 420, TARZANA, CA 91356-4243
(818) 990-1445
(818) 990-1444
Mailing address
PO BOX 260602, ENCINO, CA 91426-0602
(818) 990-1445
(818) 990-1444
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G69875
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G69875
—
CA
01
—
00G698750
BLUE SHIELD
CA
Enumeration date
07/13/2006
Last updated
02/05/2025
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