Lee Chaidez Mancilla in Santa Monica - Medical
Lee Chaidez Mancilla - NPI 1356526495
Lee Chaidez Mancilla is a Medical in Santa Monica, California. Lee Chaidez Mancilla practices all healthcare services and medical treatments related to Medical. The NPI Number for Lee Chaidez Mancilla is 1356526495. The last update date is 2010-08-17.
Lee Chaidez Mancilla's current location address is 1711 Ocean Park Blvd, Santa Monica, California. You can contact this provider via phone number 3104504773 and fax number 3104500873. The mailing address for Lee Chaidez Mancilla is 1711 Ocean Park Blvd, Santa Monica, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lee Chaidez Mancilla |
|---|---|
| Address | 1711 Ocean Park Blvd, Santa Monica, California |
| Phone Number | 3104504773 |
| Fax Number | 3104500873 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1356526495 |
|---|---|
| Provider Enumeration Date | 2008-01-08 |
| Last Updated Date | 2010-08-17 |
Provider Mailing Address Detail
| Address | 1711 Ocean Park Blvd |
|---|---|
| City | Santa Monica |
| State | California (CA) |
| Post Code | 904054901 |
| Phone Number | 3104504773 |
| Fax Number | 3104500873 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 19534 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Lee Chaidez Mancilla?
The Lee Chaidez Mancilla has been issued the NPI (National Provider Identifier) 1356526495 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Lee Chaidez Mancilla?
The Lee Chaidez Mancilla is physically situated at 1711 Ocean Park Blvd, in the city of Santa Monica, state of CA, with the postal code 904054901.
What is Lee Chaidez Mancilla's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lee Chaidez Mancilla is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date did Lee Chaidez Mancilla receive its 1356526495 assignment from the Centers for Medicare & Medicaid Services?
The Lee Chaidez Mancilla was assigned its 1356526495 on 2008-01-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Lee Chaidez Mancilla's details last updated?
The information pertaining to the Lee Chaidez Mancilla, including its address, specialty, and other details, was most recently updated on 2010-08-17.