AJAY MANCHANDIA


Address: 1120 W La Veta Ave Ste 100, Orange, CA 92868-4215
Phone: 7145094490

AJAY MANCHANDIA (NPI# 1720243082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720243082
Entity Type Individual
Full Name AJAY MANCHANDIA
Credential MD
Practice Address 1120 W La Veta Ave Ste 100
Orange
CA 92868-4215
Mailing Address 4100 Long Beach Blvd Ste 108
Long Beach
CA 90807-2696
Practice Telephone 7145094490
Mailing Telephone 5624263925
Mailing Fax Number 5625957639
Enumeration Date 2008-07-25
Last Update Date 2019-10-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology A120510 CA Allopathic & Osteopathic Physicians
Y 207WX0110X Ophthalmology
Specialization: Pediatric Ophthalmology and Strabismus Specialist
A120510 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 0A1205100 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
4100 Long Beach Blvd Ste 108, Long Beach, CA 908072696 5624263925 5625957639

Office Location

Street Address 1120 W LA VETA AVE STE 100
City ORANGE
State CA
Zip Code 92868-4215

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346859386 Sadaf Abrishami Pharmacist 101 The City Dr S., Orange, CA 92868 2020-07-27
1245869825 Helena Yijia Hong Student in an Organized Health Care Education/Training Program Uci Medical Center, 101 The City Drive, Orange, CA 92868 2020-04-06
1932736527 Joshua Kristopher Livingston Student in an Organized Health Care Education/Training Program 101 The City Dr S, Rte. 128-01, Orange, CA 92868 2020-03-24
1831725894 Michelle Brown Student in an Organized Health Care Education/Training Program 101 The City Dr S. Rte 128-01, Orange, CA 92868 2020-03-20
1093363491 Kristin Lee Pharmacist 132 S. Anita Dr., Orange, CA 92868 2019-08-28
1740834217 Matthew Brian Mecheal Dentist 725 W. La Veta Suite 260, Orange, CA 92868 2019-08-01
1245897990 Brent Tyler Louie Student in an Organized Health Care Education/Training Program 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 2019-05-28
1093277972 Danielle Amato Student in an Organized Health Care Education/Training Program Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 2019-04-01
1851852206 Julia Ting Bu Student in an Organized Health Care Education/Training Program Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 2019-03-28
1326507344 Harrison Beene Lowder Student in an Organized Health Care Education/Training Program 505 S. Main St, Suite 525, Orange, CA 92868 2019-03-19
Find all providers in zip 92868

Taxonomy Information

Taxonomy Code 207WX0110X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology
Specialization Pediatric Ophthalmology and Strabismus Specialist

Taxonomy Definition

An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
Notes: Source: American Academy of Ophthalmology, www.aao.org [7/1/2017: new]
- Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194282970 Toshiaki Goseki Ophthalmology 11360 Iowa Ave Apt 205, Los Angeles, CA 90025-6742 2019-02-27
1679068365 Soh Youn Suh Ophthalmology 200 Stein Plz Bldg, Los Angeles, CA 90095-0001 2018-06-26
1073124848 Solin Saleh Ophthalmology 2452 Watson Ct, Palo Alto, CA 94303-3216 2020-08-13
1497262141 Koharaeye, PC Ophthalmology 3831 Hughes Ave Ste 104, Culver City, CA 90232-6834 2018-01-03

Competitor

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City ORANGE
Zip Code 92868

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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