Individual
DR. HECTOR MANRIQUE LASTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2750 E SLAUSON AVE, HUNTINGTON PARK, CA 90255
(323) 581-3010
(323) 581-2035
Mailing address
2750 E SLAUSON AVE, HUNTINGTON PARK, CA 90255
(323) 581-3010
(323) 581-2035
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A91293
CA
Other
Enumeration date
05/07/2007
Last updated
12/04/2021
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