Look up the most recent NPI and PECOS records

Peggy L Manuel

Pediatrics

Allopathic & Osteopathic Physicians

2929 Health Center Dr, San Diego, CA 92123-2762

PECOS Enrollment

Based on the most recent information from CMS, provider Peggy L Manuel does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1750391157
Provider Type
Individual
Full Name
Manuel, Peggy L
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
8/8/2006
Last Updated
7/8/2007

Contact Information

Practice Location

2929 Health Center Dr, San Diego, CA 92123-2762

(858) 499-2600

Unlisted Fax

Mailing Location

2929 Health Center Dr, San Diego, CA 92123-2762

(858) 499-2600

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License G61818 California

Provider Identifiers

ID	Description	Issuer
ID 00G618180	Description Medicaid	Issuer Unlisted California

Peggy L Manuel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Judd, Sarah A

Stump, Chari Diana

Sheth, Sarika K.

Rose, Olga D.

Kubal, Gargi

Kaufhold, Marilyn Jean

Madany, George H

Jones, Kenneth Lyons

Vaidya, Kamala

Katheria, Anup