Provider Demographics
NPI:1730140849
Name:MANNOR, GEVA E (MD)
Entity Type:Individual
Prefix:DR
First Name:GEVA
Middle Name:E
Last Name:MANNOR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10790 RANCHO BERNARDO RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-5705
Mailing Address - Country:US
Mailing Address - Phone:858-554-9088
Mailing Address - Fax:858-554-6726
Practice Address - Street 1:10710 N TORREY PINES RD
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1035
Practice Address - Country:US
Practice Address - Phone:858-554-9088
Practice Address - Fax:858-554-6726
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2019-10-30
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Provider Licenses
StateLicense IDTaxonomies
CAG60907207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G609070Medicaid
CAE86223Medicare UPIN
CA00G609070Medicaid