| NPI | 1134625775 | 
|---|---|
| Other Name | MANOUKIANS INTERNAL MEDICINE | 
| Entity Type | Organization | 
| Authorized Contact | KRISTINE RUSLEN Director Of Reimbursement 510-974-8297  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine | 
| Enumeration Date | 2018-04-03 | 
| Last Update Date | 2018-04-03 |