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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANE MANALANG, PHYSICIAN ASSISTANT

Active Sole Proprietor

SHANE MANALANG, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in LYNWOOD, California. NPI 1558648550 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LYNWOOD, CA

Registration Details

NPI Number
1558648550
Provider Type
Individual
Gender
Male
NPI Issued
Nov 4, 2011 (14.595074100331 yrs)
Last Updated
Feb 3, 2020
License
21395 (CA)
Sole Proprietor
Yes

Practice Information

Address
3625 MARTIN LUTHER KING JR BLVD STE 5
LYNWOOD, CA, 902623509
Browse CA providers · Browse ZIP 90262
Phone
5625088787
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LYNWOOD, CA

Name Credential NPI
WENDELL S. WHARTON JR. P.A. 1346232311
HELEN L SCOTT-GIBSON PA 1881788693
LORPU BEYAN PA 1457402174
MR. DUY TU DOAN PA-C 1053516187
ALAN MULLIKIN PA-C 1952688657
DONALD PLONG MS, PA-C 1083982995
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.