Jack Manson, P.A

NPI 1588010326 · on the registry since 2016 · sole proprietor

Practice

Address: 11239 Ventura Blvd
213
Studio City, CA 91604
Phone: (760) 936-7189
Organisation at this address: Wello Wound Care, Llc
Wello Wound Care Nursing Pc
Wello Wound Care Nursing, Pc
Boulevard Medical Group, Inc.
Pro Wellness Diagnostic Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-05-11

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