Individual
RYAN MANITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
6701 ETON AVE APT 449, CANOGA PARK, CA 91303-4065
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000997
CA
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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