Provider Demographics
NPI:1366450637
Name:MAN, DAVID GEE (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:GEE
Last Name:MAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:510 W CENTRAL AVE
Mailing Address - Street 2:STE A
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-3032
Mailing Address - Country:US
Mailing Address - Phone:714-996-1633
Mailing Address - Fax:714-996-9267
Practice Address - Street 1:50 ALESSANDRO PL
Practice Address - Street 2:SUITE 360
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3149
Practice Address - Country:US
Practice Address - Phone:626-793-6133
Practice Address - Fax:626-793-6135
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2015-01-16
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Provider Licenses
StateLicense IDTaxonomies
CAA54738207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A547380OtherBLUE SHIELD
CA00A547380Medicaid
P00015679OtherRAILROAD RETIREMENT
G75166Medicare UPIN
CAA54738Medicare ID - Type Unspecified