Individual
DR. MICHAEL RICHARD MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1513 S GRAND AVE, SUITE 400, LOS ANGELES, CA 90015-3070
(213) 742-6400
(213) 742-6089
Mailing address
PO BOX 54679, LOS ANGELES, CA 90054-0679
(310) 967-1780
(310) 967-1773
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
25MA08946800
NJ
207VX0201X
Gynecologic Oncology Physician
Primary
A68842
CA
Other
Enumeration date
05/26/2006
Last updated
01/06/2020
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