DR. SUZANNE LEE MANCHERIAN DPM, NPI 1427129741 — LOS ANGELES (CA)

NPI 1427129741

13+ Years Experience Individual

DR. SUZANNE LEE MANCHERIAN DPM

11.10.2006
PROVIDER ENUMERATION DATE
05/31/2018
LAST UPDATE DATE
1427129741
NPI NUMBER

About DR. SUZANNE LEE MANCHERIAN

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

DR. SUZANNE LEE MANCHERIAN is a provider established in LOS ANGELES, CA. The NPI number of DR. SUZANNE LEE MANCHERIAN is 1427129741 and was assigned on 11.10.2006. The practitioners primary taxonomy code is: 213E00000X with license number: E4429 CA .

Mailing address

  • City: LOS ANGELES
  • State: CA
  • Postal code: 900362035
  • Phone: 3239376903
  • Fax: 3239372035
  • Address: 585 S FAIRFAX AVE

Primary Practice Address

  • Region : LOS ANGELES, CA
  • NPI : 1427129741
  • Phone : 3239376903
  • Fax : 3232107171
  • Postalcode : 90048
  • Address : 6200 WILSHIRE BLVD STE 1712

Provider taxonomy - Podiatrist

  • Taxonomy code: 213E00000X
  • License number: E4429
  • License state: CA

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Contacts:

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  • DR. SUZANNE LEE MANCHERIAN DPM
  • Address : 6200 WILSHIRE BLVD STE 1712
  • Region : LOS ANGELES, CA
  • NPI : 1427129741
  • Phone : 3239376903
  • Fax : 3232107171
  • Postalcode : 90048

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address6200 WILSHIRE BLVD STE 1712
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameLOS ANGELES
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameCA
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code90048
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number3239376903
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number3232107171
The fax number associated with the location address of the provider being identified.
NPI1427129741
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1213E00000X
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Provider Enumeration Date11.10.2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated05/31/2018
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)DR. SUZANNE LEE MANCHERIAN
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address585 S FAIRFAX AVE
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameLOS ANGELES
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameCA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code900362035
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number3239376903
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number3239372035
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1213E00000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Podiatrist
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Provider License Number 1E4429
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1CA
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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