Individual
DR. MENANDRO CUNANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11201 BENTON ST, 605-117, LOMA LINDA, CA 92357-1000
(949) 939-5659
Mailing address
3191 CAVALETTI LN, NORCO, CA 92860-4127
(949) 939-5659
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A73266
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A73266
STATE LICENSE NUMBER
CA
Enumeration date
06/28/2006
Last updated
09/11/2013
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