Individual
DR. LEVY JO MANUNTAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1450 TREAT BLVD STE 120A, WALNUT CREEK, CA 94597-2168
(925) 296-9720
Mailing address
1450 TREAT BLVD # 300, WALNUT CREEK, CA 94597-2168
(925) 952-2828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
312360
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
A178501
CA
Other
Enumeration date
04/16/2018
Last updated
08/15/2024
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