Organization
RANA MANSOUR ADVANCED PODIATRY INSTITUTE, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANA MANSOUR D. P. M. (SOLE PROPIETOR)
(619) 442-1987
Entity
Organization
Contact information
Practice address
343 E LEXINGTON AVE, SUITE 101, EL CAJON, CA 92020-4520
(619) 442-1987
(619) 456-9775
Mailing address
343 E LEXINGTON AVE, SUITE 101, EL CAJON, CA 92020-4520
(619) 442-1987
(619) 456-9775
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4688
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E4688
LICENSE NUMBER
CA
Enumeration date
06/25/2014
Last updated
08/17/2015
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