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Contact Information

SHADI MANAVI, MD
31872 COAST HWY
MISSION HOSPITAL LAGUNA BEACH EMERGENCY DEPARTMENT
LAGUNA, CA92651
 Phone: 949-499-7193
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for SHADI MANAVI · (Female)

NPI # 1437443785
Status Active
Credentials MD
Entity Individual
Enumeration date 06/03/2011
Last updated 01/20/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A122829
Hospital affiliation(s)
  • RONALD REAGAN UCLA MEDICAL CENTER - (Acute Care)
    757 WESTWOOD PLAZA
    LOS ANGELES, CA 90095
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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