Individual
DEEPA MANOHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.N.P.
Contact information
Practice address
4650 W SUNSET BLVD # 61, LOS ANGELES, CA 90027-6062
(323) 361-4606
(323) 361-1301
Mailing address
4650 W SUNSET BLVD # 61, LOS ANGELES, CA 90027-6062
(323) 361-4606
(323) 361-1301
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95024074
CA
Other
Enumeration date
08/18/2010
Last updated
04/03/2024
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