Organization
JASBIR S MANN M D INC A PROFESSIONAL CORPORATION
Active
Organization
JASBIR S MANN M D INC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASBIR S MANN M.D. (PRESIDENT)
(714) 895-1774
Entity
Organization
Contact information
Practice address
1771 W ROMNEYA DR, SUITE E, ANAHEIM, CA 92801-1817
(714) 895-1774
(714) 758-1485
Mailing address
PO BOX 2007, FULLERTON, CA 92837-0007
(714) 895-1774
(714) 758-1485
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
A35052
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A350520
—
CA
Enumeration date
04/04/2007
Last updated
04/13/2009
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