Provider Demographics
NPI:1992838403
Name:MANAYAN, ANNA (JD, DIPLAC, LAC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:MANAYAN
Suffix:
Gender:F
Credentials:JD, DIPLAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 GREAT MALL DR
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-8007
Mailing Address - Country:US
Mailing Address - Phone:408-262-6900
Mailing Address - Fax:408-262-6903
Practice Address - Street 1:309 GREAT MALL DR
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-8007
Practice Address - Country:US
Practice Address - Phone:408-262-6900
Practice Address - Fax:408-262-6903
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7101171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist