| Sunny Mann Md Inc | |
|
2216 N California St Ste A Stockton CA 95204-5533 | |
| (209) 851-2065 | |
| (209) 292-8910 |
| Full Name | Sunny Mann Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2216 N California St Ste A, Stockton, California |
| Authorized Official Name and Position | Sandeep Mann (OWNER) |
| Authorized Official Contact | 4086745463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunny Mann Md Inc 2216 N California St Ste A Stockton CA 95204-5533 Ph: (209) 851-2065 | Sunny Mann Md Inc 2216 N California St Ste A Stockton CA 95204-5533 Ph: (209) 851-2065 |
| NPI Number | 1104609122 |
|---|---|
| Provider Enumeration Date | 08/15/2023 |
| Last Update Date | 08/22/2023 |
| Medicare PECOS PAC ID | 3971967068 |
|---|---|
| Medicare Enrollment ID | O20230907002362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104609122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Secondary |
| Provider Name | Sandeep Singh Mann |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1033671672 PECOS PAC ID: 6608230792 Enrollment ID: I20230907002769 |
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