Individual
ROY MANSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 W CARSON ST, BOX 480, TORRANCE, CA 90502-2004
(310) 222-5026
Mailing address
1000 CARSON ST, BOX 480, TORRANCE, CA 90509
(310) 222-5026
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A84716
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M050376
GROUP
CA
01
—
W14940
GROUP
CA
Enumeration date
05/23/2007
Last updated
11/14/2008
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