MIGUEL SANTIAGO GONZALEZ MANCERA

WEST HOLLYWOOD, CA
NPI1952992463
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: CA  PTL5076)
Enumeration Date2021-01-27
Last Update Date2021-01-27
Business Address
MIGUEL SANTIAGO GONZALEZ MANCERA MD
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048-1804
Phone number: 310-423-3277
Mailing Address
MIGUEL SANTIAGO GONZALEZ MANCERA MD
5200 WILSHIRE BLVD APT 328
LOS ANGELES, CA 90036-4693
Phone number: 786-757-3384