MEDICARE: ESTELLE MANN PHARMD

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
1	183500000X	Pharmacist	55698	CA

General Provider Information

NPI Number	:	1851235899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTELLE MANN PHARMD

Provider Business Mailing Address
First Line	:	1502 PEGASUS ST
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-1320
Country	:	US
Telephone Number	:	858-353-1209
Fax Number	:

Provider Business Practice Location Address
First Line	:	1502 PEGASUS ST
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-1320
Country	:	US
Telephone Number	:	858-353-1209
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “ ESTELLE MANN PHARMD” Practice Location

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