Manuel R Pantiga, M.D
NPI #1104944750 in San Jose, California
Provider Information
- NPI Number
- 1104944750
- Entity Type
- Individual
- Name
- Manuel R Pantiga, M.D
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Credential
- M.D
- Enumeration Date
- Mar 26, 2007
- Last Updated
- Dec 7, 2012
Practice Location
- Address
- 100 OAK ST
- City
- San Jose
- State
- California
- ZIP Code
- 95110-2817
- Phone
- (408) 295-0980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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