Doctor Name: | DR. MANUEL RAMON SACAPANO |
NPI Number: | 1851315980 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A77588 |
Business Practice Address: | 21530 Pioneer Blvd Hawaiian Gardens, CA - 907162608 |
Business Phone Number: | 7145222001 |
Business Fax Number: | 7145227503 |
Mailing Address: | 5037 Mosaic Ct, LOS ANGELES |
State: | CA |
Postal Code: | 900413601 |
Phone Number: | 8184504649 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 06/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A77588 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |