Individual
INGRID LILA MANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8068
(714) 456-3765
Mailing address
PO BOX 54330, LOS ANGELES, CA 90054-0330
(714) 456-8068
(714) 456-3765
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2563
CA
207L00000X
Anesthesiology Physician
444616
CA
Other
Enumeration date
06/03/2006
Last updated
12/06/2021
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