Individual
MANANDO NAKASAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 VETERAN AVENUE REHAB 1-348, LOS ANGELES, CA 90095-3201
(310) 999-9999
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8771
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
A164008
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A164008
CA
Other
Enumeration date
06/25/2017
Last updated
09/26/2023
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