JERRY MANOUKIAN M.D. A MEDICAL CORPORATION NPI 1134391030

NPI Information

NPI: 1134391030
Provider Name: JERRY MANOUKIAN M.D. A MEDICAL CORPORATION
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2500 HOSPITAL DR
SUITE 4
MOUNTAIN VIEW, CA
ZIP 94040
Phone: (650) 940-1006
Get Directions

JERRY MANOUKIAN M.D. A MEDICAL CORPORATION is a multi-specialty clinic center in Mountain View, CA. JERRY MANOUKIAN M.D. A MEDICAL CORPORATION NPI is 1134391030. The provider is registered as an organization entity type.

The provider's business location address is:

2500 HOSPITAL DR
SUITE 4
MOUNTAIN VIEW, CA
ZIP 94040-106
Phone: (650) 940-1006
Fax: (650) 940-1008

The provider's authorized official is Jerry Lee Manoukian .
The authorized official title is Owner and has the following contact phone number (650) 940-1006.

The enumeration date for this NPI number is 3/31/2008 and was last updated on 7/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	G64508	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G85843	MEDICARE UPIN	CALIFORNIA
2	E86734	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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