Individual
MANUEL ERNESTO UMANZOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7444 LANKERSHIM BLVD, NORTH HOLLYWOOD, CA 91605-2801
(818) 765-4917
(818) 765-0804
Mailing address
7444 LANKERSHIM BLVD, NORTH HOLLYWOOD, CA 91605-2801
(818) 765-4917
(818) 765-0804
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13435
CA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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