Individual
MANUCHER ATAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6656 MUIRLANDS DR, LA JOLLA, CA 92037
(858) 456-0013
Mailing address
6656 MUIRLANDS DR, LA JOLLA, CA 92037
(858) 456-0013
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
AFE41063
CA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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