Individual
MANANA B. ELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
04-28675
KS
207RH0003X
Hematology & Oncology Physician
2002007883
MO
207RX0202X
Medical Oncology Physician
Primary
C177706
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100428760B
—
KS
05
—
1609841816
—
MO
Enumeration date
02/21/2006
Last updated
11/14/2022
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