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NPI Code Detail

MEDICARE: MR. WESLEY LAMONT MANNING II

MEDICARE: MR. WESLEY LAMONT MANNING II
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
11041S0200XSchool Social Worker131832CA
21041C0700XClinical Social Worker131832CA

General Provider Information

NPI Number : 1982097333
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WESLEY LAMONT MANNING II
Provider Business Mailing Address
First Line : 1515 HUGHES WAY
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-1865
Country : US
Telephone Number : 562-997-8180
Fax Number :
Provider Business Practice Location Address
First Line : 1515 HUGHES WAY
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-1865
Country : US
Telephone Number : 562-997-8180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2015
Last Update Date : 09/23/2025

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