Provider Demographics
NPI:1891870044
Name:JOSEPH M. MANN III, MD, HANDSURGERY APC
Entity Type:Organization
Organization Name:JOSEPH M. MANN III, MD, HANDSURGERY APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:MANN
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:760-747-7272
Mailing Address - Street 1:735 E OHIO AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-3437
Mailing Address - Country:US
Mailing Address - Phone:760-747-7272
Mailing Address - Fax:760-745-3766
Practice Address - Street 1:735 E OHIO AVE STE 203
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-3437
Practice Address - Country:US
Practice Address - Phone:760-747-7272
Practice Address - Fax:760-745-3766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG21242207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G212420Medicaid
CAW16966Medicare ID - Type UnspecifiedMEDICARE ID#
CAC35921Medicare UPIN
CA5106630001Medicare NSC