Shane Manalang, PHYSICIAN ASSISTANT
NPI #1558648550 in Lynwood, California
Provider Information
- NPI Number
- 1558648550
- Entity Type
- Individual
- Name
- Shane Manalang, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Nov 4, 2011
- Last Updated
- Feb 3, 2020
Practice Location
- Address
- 3625 MARTIN LUTHER KING JR BLVD STE 5
- City
- Lynwood
- State
- California
- ZIP Code
- 90262-3509
- Phone
- (562) 508-8787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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