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NPI Code Detail

MEDICARE: SUMITA MANOHARI MD

MEDICARE: SUMITA MANOHARI MD
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
1208000000XPediatrics PhysicianA203355CA

General Provider Information

NPI Number : 1376235358
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMITA MANOHARI MD
Provider Business Mailing Address
First Line : 9375 SAN FERNANDO RD STE 2A
Second Line :
City : SUN VALLEY
State : CA
Zip : 91352-1428
Country : US
Telephone Number : 818-504-4516
Fax Number : 747-245-1979
Provider Business Practice Location Address
First Line : 9375 SAN FERNANDO RD STE 2A
Second Line :
City : SUN VALLEY
State : CA
Zip : 91352-1428
Country : US
Telephone Number : 818-504-4516
Fax Number : 747-245-1979
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2023
Last Update Date : 02/05/2026

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Directions to “ SUMITA MANOHARI MD” Practice Location

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