person
Deepa Manohara, PNP
Pediatric Nurse Practitioner in Los Angeles, California
NPI 1891000501

Deepa Manohara is a Pediatric Nurse Practitioner based in Los Angeles, CA and is specialized in Pediatrics. Deepa Manohara practices in Los Angeles, CA and has the professional credentials of PNP. The NPI Number for Deepa Manohara is 1891000501 and holds a License No. 95024074 (California).

The current practice location address for Deepa Manohara is 4650 W Sunset Blvd # 61, Los Angeles, CA and can be reached out via phone at 323-361-4606 and via fax at 323-361-1301.

Location: 4650 W Sunset Blvd # 61, Los Angeles, CA, 90027-6062
person
Provider Profile Details
NPI Number
1891000501
Provider Name
Deepa Manohara
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
4650 W Sunset Blvd # 61, Los Angeles, CA, 90027-6062
Phone Number
323-361-4606
Fax Number
323-361-1301
Provider Enumeration Date
08/18/2010
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
4650 W Sunset Blvd # 61
City
State
Zip
90027-6062
Phone Number
323-361-4606
Fax Number
323-361-1301
person
Provider Business Mailing Address Details
Address
4650 W Sunset Blvd # 61
City
State
Zip
90027-6062
Phone Number
323-361-4606
Fax Number
323-361-1301
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
95024074 (California)
Definition
Definition to come...
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