Manju Dixit Devgan, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

C38753 Issued in CA

Practice address

11735 W Washington Blvd
Suite # 201
Los Angeles, CA 90066-5917

Phone

(310) 390-9829

Fax

(310) 391-1290

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629122155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11735 W WASHINGTON BLVD",
            "address_2": "SUITE # 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665917",
            "telephone_number": "310-390-9829",
            "fax_number": "310-391-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11735 W WASHINGTON BLVD",
            "address_2": "SUITE # 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665917",
            "telephone_number": "310-390-9829",
            "fax_number": "310-391-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVGAN",
        "first_name": "MANJU",
        "middle_name": "DIXIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "C38753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eadwig Devera
• Melissa Devera
• Delmar Devers, LCSW
• Jamil Devers, PT, DPT
• Arvind Devgan, DPT
• Uday Devgan, M.D.
• Taylor Ann Devian
• Nina Angelica Devillar, MSW
• Jaime Gerardo Deville, M.D.
• Simon James Devilly, M.A.

• Anatomic Pathology & Clinical Pathology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.