Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
14860 ROSCOE BLVD
PANORAMA CITY, CA 91402-4665 US

Divya Manivannan

Student


Divya Manivannan

Overview

Divya Manivannan is a Student in the PANORAMA CITY area. Divya Manivannan primary office location is at 14860 ROSCOE BLVD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1164161139 and the information was updated approximately 2 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: NO

Contact Information

Primary Practice Location Information
14860 ROSCOE BLVD
PANORAMA CITY, CA 91402-4665 US
Phone: (818)-904-3132
Fax:
Practice Mailing Information
14860 ROSCOE BLVD
PANORAMA CITY, CA 91402-4665 US
Phone: (818)-904-3132
Fax:

No Licenses found


No Identifiers found

TaxonomyStatePrimary?
Student - Taxonomy Code 390200000X --Y