| Marvin Gil Manalo, | |
|
8215 Van Nuys Blvd Ste 100, Panorama City, CA 91402-4827 | |
| (818) 901-0373 | |
| Not Available |
| Full Name | Marvin Gil Manalo |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 8215 Van Nuys Blvd Ste 100, Panorama City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437971561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95032534 (California) | Primary |
| Entity Name | Mallu Reddy Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184821340 PECOS PAC ID: 8022193994 Enrollment ID: O20080317000645 |
| Mailing Address | Practice Location Address |
|---|---|
| Marvin Gil Manalo, 11856 Balboa Blvd # 470, Granada Hills, CA 91344-2753 Ph: (818) 390-0804 | Marvin Gil Manalo, 8215 Van Nuys Blvd Ste 100, Panorama City, CA 91402-4827 Ph: (818) 901-0373 |
Gloria S Tongson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Tina J Woolfork, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Mary Bernadette Acuna Coburn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Hilda Berenice Jacobo, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8727 Van Nuys Blvd, Panorama City, CA 91402 Phone: 818-899-5555 | |
Sharon M Poncher, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Velda C Mowry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Kristine Satenik Shahinyan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8012 Allott Ave, Panorama City, CA 91402 Phone: 323-422-8696 |