Individual provider · NPI-1

Dr. Menandro Cunanan, md

Physical Medicine & Rehabilitation · Loma Linda, CA

NPI number1629006952
StatusActive
Last updated in NPPESSep 11, 2013

Details

NPI
1629006952
Entity type
Individual (NPI-1)
Name
Dr. Menandro Cunanan
Credential
md
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 28, 2006
Last updated
Sep 11, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & RehabilitationA73266CAYes

Practice location

11201 Benton St
605-117
Loma Linda, CA 92357-1000

Phone 949-939-5659

Mailing address

3191 Cavaletti Ln
Norco, CA 92860-4127

Phone 949-939-5659

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