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Individual

DR. CARLOS JORDAN-MANZANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
23700 CAMINO DEL SOL, TORRANCE, CA 90505
(310) 530-1151
(310) 626-9390
Mailing address
PO BOX 4570, PALOS VERDES PENINSULA, CA 90274-9607
(424) 400-7748
(424) 400-7749

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A106140
CA
2084P0804X
Child & Adolescent Psychiatry Physician
A106140
CA

Other

Enumeration date
06/18/2007
Last updated
01/18/2019
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