Manuel, Vladimir

Manuel, Vladimir is an individual health care provider with primary practice located at 4560 Admiralty Way Ste 100 , Marina Del Rey CA 90292-5424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Manuel, Vladimir can be contacted via phone (310) 827-3700.

Contact Information

Primary practice address
4560 Admiralty Way Ste 100 Marina Del Rey CA 90292-5424
Phone: (310) 827-3700
Fax: (310) 578-5379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A108725 California

Profile Details

NPI number 1588809420
LBN Legal business name Manuel, Vladimir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2008
Last updated Apr 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588809420 NPPES
California Other W14560A PTAN NUMBER

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