Individual
MICHAEL J MANANSALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2999 REGENT ST STE 301, BERKELEY, CA 94705-2118
(510) 204-8120
(510) 506-7723
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 204-8120
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
X
CA
Other
Enumeration date
12/08/2015
Last updated
10/03/2024
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