Individual
EDWARD MANOUGIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1517 SUMMIT RD, BERKELEY, CA 94708-2216
(510) 843-9247
(510) 843-9247
Mailing address
1132 LAWRENCE COURT, EL CERRITO, CA 94530-2411
(510) 525-4630
(510) 843-9247
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
C17929
CA
Other
Enumeration date
10/10/2006
Last updated
07/09/2007
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