Joel C Manilay (NPI# 1568584662, PAC ID# 4486628153) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1568584662 |
PAC ID by PECOS | 4486628153 |
Professional Enrollment ID | I20040819001568 |
Full Name | Joel C Manilay |
Organization Legal Name | VITAL HEALTH MEDICAL GROUP INC |
Address |
1972 W 48th St B Los Angeles CA 90062-2103 |
Phone Number | 3232944792 |
Gender | M |
Credential | PA |
Graduation Year | 2000 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 4789987215 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1972 W 48th St, B, Los Angeles, CA 90062-2103 | 3232944792 | VITAL HEALTH MEDICAL GROUP INC |
1972 W 48th St, Los Angeles, CA 90062-2103 | 3232944792 | VITAL HEALTH MEDICAL GROUP INC |
Organization Legal Name | VITAL HEALTH MEDICAL GROUP INC |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Marcel S Filart | Geriatric Medicine | Vital Health Medical Group Inc | 1523 E Amar Rd, West Covina, CA 91792-1619 |
Joseph E Rojo | Physician Assistant | Vital Health Medical Group Inc | 1711 W Temple St, Los Angeles, CA 90026-5421 |
Paz M Lorenzo | Nurse Practitioner | Vital Health Medical Group Inc | 1300 N Vermont Ave, Los Angeles, CA 90027-6005 |
Maria Estela B Castro | Nurse Practitioner | Vital Health Medical Group Inc | 1300 N Vermont Ave, Los Angeles, CA 90027-6005 |
Natasha L Wright | Physician Assistant | Vital Health Medical Group Inc | 1972 W 48th St, Los Angeles, CA 90062-2103 |
Street Address |
1972 W 48TH ST B |
City | LOS ANGELES |
State | CA |
Zip | 90062-2103 |
Name | Specialty | Organization | Address |
---|---|---|---|
Natasha L Wright | Physician Assistant | Vital Health Medical Group Inc | 1972 W 48th St, Los Angeles, CA 90062-2103 |
Name | Specialty | Organization | Address |
---|---|---|---|
L Khadijah Lang | Family Medicine | 4361 S Western Ave, Los Angeles, CA 90062-1651 |
City | LOS ANGELES |
Zip Code | 90062 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | LOS ANGELES + PHYSICIAN ASSISTANT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.