| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ERIK MANTSCH | 1962018465 | 2020-09-20 |
Erik Mantsch is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1962018465. Registration indicates Erik Mantsch is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse: General Practice, ) (All Other Specialties & Provider Types, ) (Registered Nurse General Practice, Nursing Service Providers) (Registered Nurse, )
| Entity Type | Individual |
| Provider Name | Mr. Erik Mantsch RN, PHN |
| Practice Office Address | 3851 ROSECRANS ST SAN DIEGO, CA US |
| Practice Office Telephone | 6195315800 |
| Practice Office Fax | 6195424186 |
| Mailing Address | 3851 ROSECRANS ST SAN DIEGO, CA 921103115 US |
| Business Telephone | 6195315800 |
| Business Fax | 6195424186 |
| Code | Practice | License No State |
|---|---|---|
| 163WG0000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse: General Practice All Other Specialties & Provider Types Registered Nurse General Practice Nursing Service Providers Registered Nurse | 95161003
CA |