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NPI Code Detail

MEDICARE: MANUA HEALTHCARE FOUNDATION, INC

MEDICARE: MANUA HEALTHCARE FOUNDATION, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2207R00000XInternal Medicine Physician
3207RC0000XCardiovascular Disease Physician
4246X00000XCardiovascular Specialist/Technologist
5284300000XSpecial Hospital
6261QR1100XResearch Clinic/CenterCA
7261QR1100XResearch Clinic/CenterAS
8282N00000XGeneral Acute Care HospitalAS
9282N00000XGeneral Acute Care Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346671989
Entity Type Code : Organization
Provider Name (Legal Business Name) : MANUA HEALTHCARE FOUNDATION, INC
Provider Business Mailing Address
First Line : 8033 W SUNSET BLVD # MS 588
Second Line :
City : LOS ANGELES
State : CA
Zip : 90046-2401
Country : US
Telephone Number : 323-892-2300
Fax Number : 310-853-1245
Provider Business Practice Location Address
First Line : 6080 CENTER DR FL 6
Second Line : HOWARD HUGHES CENTER
City : LOS ANGELES
State : CA
Zip : 90045-9205
Country : US
Telephone Number : 310-853-1230
Fax Number : 310-853-1245
Authorized Official
Title or Position : MANAGING DIRECTOR
Name : MR. BARNEY SENE
Credential :
Telephone Number : 310-853-1230
Provider Enumeration Date : 12/09/2013
Last Update Date : 10/25/2016

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Directions to “MANUA HEALTHCARE FOUNDATION, INC ” Practice Location

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