| NPI | 1700977188 |
|---|---|
| Doing Business As | MANZANITA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LARISA KRAVCHUK Manager 916-979-0621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-04-30 |