Individual
MANUEL JOSE AMADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9415 CAMPUS POINT DR, LA JOLLA, CA 92093-0946
(858) 534-6290
Mailing address
5063 MILLAY CT, CARLSBAD, CA 92008-3869
(760) 448-0722
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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