Individual
ASWATHNARAYAN R MANANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
127 S SAN VICENTE BLVD STE A3600, LOS ANGELES, CA 90048-3311
(310) 423-3977
(310) 423-6795
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
050003
CT
207R00000X
Internal Medicine Physician
Primary
MD211611
OR
207RC0000X
Cardiovascular Disease Physician
A170306
CA
207RI0011X
Interventional Cardiology Physician
MD211611
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001500032
—
CT
05
—
100500484 GROUP
—
NV
Enumeration date
07/19/2007
Last updated
01/02/2023
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