Individual
TRICIA MANALASTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2888 LONG BEACH BLVD., SUITE 180, LONG BEACH, CA 90807
(562) 595-5424
Mailing address
23560 CRENSHAW BLVD., SUITE 102, TORRANCE, CA 90505-1530
(310) 784-2355
(310) 517-1817
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA15922
CA
Other
Enumeration date
08/20/2006
Last updated
07/02/2009
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