Individual
CAROL MAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 456-5631
Mailing address
17309 HARVEST AVE, CERRITOS, CA 90703-2513
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A158929
CA
Other
Enumeration date
04/05/2017
Last updated
05/26/2023
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