Individual provider · Type 1 NPI
Tricia Manalastas, P.A.
Surgical Physician Assistant · Long Beach, CA
NPI number
1487769386
Active
Practice location
2888 Long Beach Blvd., Suite 180
Long Beach, CA 90807
Mailing address
23560 Crenshaw Blvd., Suite 102
Torrance, CA 90505-1530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA15922 (CA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1487769386
Tricia Manalastas, P.A.'s National Provider Identifier is 1487769386, issued on Aug 20, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Long Beach, CA. The record was last updated on Jul 2, 2009.