JERRY MANOUKIAN M.D. A MEDICAL CORPORATION
Ambulatory Health at Hospital Dr, Mountain View, CA

License number
California G64508
Category
Ambulatory Health
Type
Multi-Specialty
Owner
Name: DR. JERRY LEE MANOUKIAN M.D.
Title: OWNER
Phone: (650) 940-1006
Address
Address
2500 Hospital Dr SUITE 4, Mountain View, CA 94040
National Provider ID: 1134391030
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JERRY MANOUKIAN, M.D., A MEDICAL CORPORATION

Mountain View, CA

Registration:
Jan 2, 1996
Addresses:
2500 Hospital Dr Bld #4, Mountain View, CA 94040 (Physical)
2500 Hospital Dr, Mountain View, CA 94040
State ID:
C1956608
Business type:
Articles of Incorporation
President:
Jerry Manoukian (President)
Agent:
Jerry Manoukian Md,Mountain View, CA 94040 (Physical)

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