Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | A88659 | CA |
N | 2084N0402X | Child Neurologist | A88659 | CA |
N | 2084N0600X | Clinical Neurophysiologist | A88659 | CA |
NPI | 1174584965 |
---|---|
Provider Name | Dr. Sheila Kaur Manhas |
First Address | Huntington Beach, CA 92648-5524 |
Second Address | Sun Valley, CA 91352-2801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 23/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A88659 | CA (01) | CA |