| Dr Bruce A Manchel, DPM | |
|
1121 10th St, Coronado, CA 92118-3401 | |
| (619) 435-0151 | |
| (619) 435-9316 |
| Full Name | Dr Bruce A Manchel |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 46 Years |
| Location | 1121 10th St, Coronado, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790890788 | NPI | - | NPPES |
| FHC18880F | Other | MEDI CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | E2930 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centro De Salud De La Comunidad De San Ysidro,inc. | 6901709435 | 291 |
| Provider Name | Centro De Salud De La Comunidad De San Ysidro, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 |
| Provider Name | Coronado Foot Specialists Podiatry Clinic, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1639399371 PECOS PAC ID: 0941328397 Enrollment ID: O20110222000289 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce A Manchel, DPM 1121 10th St, Coronado, CA 92118-3401 Ph: (619) 435-0151 | Dr Bruce A Manchel, DPM 1121 10th St, Coronado, CA 92118-3401 Ph: (619) 435-0151 |
Coronado Foot Specialists Podiatry Clinic Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 1121 10th St, Coronado, CA 92118 Phone: 619-435-0151 Fax: 619-435-9316 |