Individual
MARJORIE-ANNE GUERRA MANCHANDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 265, LOS ANGELES, CA 90095-8344
(310) 825-0867
(310) 206-4855
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
130059
CA
2080P0206X
Pediatric Gastroenterology Physician
Primary
130059
CA
Other
Enumeration date
04/26/2012
Last updated
12/23/2020
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