Healthcare Provider Details

I. General information

NPI: 1194654533
Provider Name (Legal Business Name): MANNYS NURSING & HEALTH SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S BEACH BLVD STE E
LA HABRA CA
90631-6480
US

IV. Provider business mailing address

800 S BEACH BLVD STE E
LA HABRA CA
90631-6480
US

V. Phone/Fax

Practice location:
  • Phone: 323-248-1540
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. MANUEL MORAN JR.
Title or Position: CEO
Credential: NP
Phone: 323-718-4319