Provider Demographics
NPI:1538694088
Name:SUKUMAR, MANOHAR (JD, MPH)
Entity Type:Individual
Prefix:MR
First Name:MANOHAR
Middle Name:
Last Name:SUKUMAR
Suffix:
Gender:M
Credentials:JD, MPH
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 W CIVIC CENTER DR
Mailing Address - Street 2:PUBLIC LAW CENTER, ATTN: MANOHAR SUKUMAR
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-4002
Mailing Address - Country:US
Mailing Address - Phone:714-541-1010
Mailing Address - Fax:714-541-5157
Practice Address - Street 1:601 W CIVIC CENTER DR
Practice Address - Street 2:601 CIVIC CENTER DRIVE WEST
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4002
Practice Address - Country:US
Practice Address - Phone:714-541-1010
Practice Address - Fax:714-541-5157
Is Sole Proprietor?:No
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA289926173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine