Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael J Manzano, MD

Individual provider Neuroradiology Physician · NPI 1154682151

Michael J Manzano, MD is a Diagnostic Radiology in Los Angeles, California. Graduated from George Washington University School of Medicine in 2007, 19 years ago. Practices with Advanced Imaging Center, Inc, a 9-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Trained at
George Washington University School of Medicine
Licensed in
CA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 San Pablo St Fl 2
Los Angeles, CA 90033-5313
Phone: (323) 442-8541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X · Licence A120949 (CA)

Record details

NPI number1154682151
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2012
Last updated in NPPESNovember 27, 2023
Certification dateSeptember 24, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Advanced Imaging Center, Inc. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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