Organization
CARLOS JORDAN MANZANO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS JORDAN-MANZANO MD (OWNER)
(424) 400-7748
Entity
Organization
Contact information
Practice address
23700 CAMINO DEL SOL, TORRANCE, CA 90505-5017
(310) 530-1151
(310) 626-9390
Mailing address
PO BOX 4570, PALOS VERDES PENINSULA, CA 90274-9607
(424) 400-7748
(424) 400-7749
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A106140
CA
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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