Individual
DR. REX CHANG MANAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 CONCOURS STE 100, ONTARIO, CA 91764-4875
(909) 481-3242
(909) 481-3243
Mailing address
71780 SAN JACINTO DR BLDG I, RANCHO MIRAGE, CA 92270-5516
(760) 568-3461
(760) 423-6273
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
67209
AZ
208600000X
Surgery Physician
G86289
CA
2086S0129X
Vascular Surgery Physician
Primary
67209
AZ
2086S0129X
Vascular Surgery Physician
DR.0059259
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154997
—
AZ
Enumeration date
07/13/2005
Last updated
11/13/2025
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