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Jared Manrique

NPI 1497580187 · on the registry since 2024 · sole proprietor

Practice

Address: 25455 Barton Rd Ste 204b
Loma Linda, CA 92354
Phone: (909) 558-6600
Organisation at this address: Loma Linda University
Dental Faculty Associates
Welebir Dental Corporation
Teresa P. Avants, M.D., Inc.
Faculty Medical Group Of Llusm
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 125

Registry record

Primary taxonomy: Medical Physician Assistant
363AM0700X
Also registered as: Physician Assistant
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-01-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California