Individual
ROBERTA MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3330 LOMITA BLVD, TORRANCE, CA 90505-5002
(310) 517-4736
(310) 784-8763
Mailing address
3330 LOMITA BLVD, TORRANCE, CA 90505-5002
(310) 517-4736
(310) 784-8763
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C050093
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500930
—
CA
Enumeration date
07/04/2006
Last updated
07/09/2007
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