Most Relevant Information
Provider Data
| NPI Number: | 1003362260 |
| Provider Name: | CHRISELDA MANALO |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | 95004035 |
Most Important Dates
| Enumeration Date: | 08/28/2016 |
| Last Updated: | 08/28/2016 |
Provider Practice Location
4867 W SUNSET BLVD
6TH FLOOR - INTENSIVE CARE UNIT
LOS ANGELES
CA
900275969
Practice Location Phone/Fax
| Phone: | 3237839644 |
| Fax: | 3237830170 |
Provider Mailing Location
4867 W SUNSET BLVD
6TH FLOOR - INTENSIVE CARE UNIT
LOS ANGELES
CA
900275969
Provider Mailing Phone/Fax
| Phone: | 3237839644 |
| Fax: | 3237830170 |