Individual
MRS. DORIS PINEDA MANITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 E 28TH ST STE 318, LONG BEACH, CA 90806-2785
(562) 290-8888
Mailing address
701 E 28TH ST STE 318, LONG BEACH, CA 90806-2785
(562) 290-8888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NP 15795
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0406097
CERTIFICATION NUMBER
CA
01
—
NP 15795
LICENSE NUMBER
CA
Enumeration date
09/13/2006
Last updated
11/29/2021
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