Organization
BRIAN MANJARRES MD CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MCDONALD (MANAGER)
(949) 783-3600
Entity
Organization
Contact information
Practice address
2615 LINCOLN AVE., SAN DIEGO, CA 92104-2817
(415) 990-6355
(760) 347-0909
Mailing address
3857 BIRCH ST, SUITE 605, NEWPORT BEACH, CA 92660-2616
(949) 783-3600
(949) 783-3602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A100304
CA
Other
Enumeration date
06/07/2013
Last updated
11/04/2014
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