Individual provider · Type 1 NPI

Jared R. Manrique

Medical Physician Assistant · Loma Linda, CA

NPI number 1497580187 Active

Practice location

25455 Barton Rd Ste 204B
Loma Linda, CA 92354-3130

Mailing address

File # 54701
Los Angeles, CA 90074-4701

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XPA65396 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1497580187

Jared R. Manrique's National Provider Identifier is 1497580187, issued on Sep 3, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Loma Linda, CA. The record was last updated on Jan 2, 2025.