Individual
DIVYA MANILAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-3277
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 423-1447
(310) 423-0387
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95198340
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002629
CA
Other
Enumeration date
04/01/2025
Last updated
07/10/2025
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