Manvelyan, Marina E
Manvelyan, Marina E is an sole proprietor health care provider with primary practice located at 2544 E Washington Blvd Suite 3, Pasadena CA 91107-1449. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Manvelyan, Marina E can be contacted via phone (626) 798-1085.Contact Information
Primary practice address
2544 E Washington Blvd Suite 3
Pasadena CA 91107-1449
Phone: (626) 798-1085
Fax: (626) 798-9041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A055018 | California |
Profile Details
| NPI number | 1215925409 |
|---|---|
| LBN Legal business name | Manvelyan, Marina E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Mar 11th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215925409 | NPPES |
| California | MEDICAID | 00A550180 |
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