Individual
AJAY MANCHANDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 W LA VETA AVE STE 100, ORANGE, CA 92868-4215
(714) 509-4490
Mailing address
4100 LONG BEACH BLVD STE 108, LONG BEACH, CA 90807-2696
(562) 426-3925
(562) 595-7639
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A120510
CA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
A120510
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1205100
—
CA
Enumeration date
07/25/2008
Last updated
12/22/2023
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