Organization
ANDREW J. MANOS D.O., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW JAMES MANOS D.O. (PRESIDENT)
(562) 498-0029
Entity
Organization
Contact information
Practice address
1760 TERMINO AVE, SUITE 222, LONG BEACH, CA 90804-2105
(562) 498-0029
Mailing address
1760 TERMINO AVE, SUITE 222, LONG BEACH, CA 90804-2105
(562) 498-0029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A4530
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W12027
MEDICARE GROUP NUMBER
—
Enumeration date
12/03/2007
Last updated
04/16/2008
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