Healthcare Provider Details

I. General information

NPI: 1235056060
Provider Name (Legal Business Name): MANALO MEDICINE CONSULTING PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27661 SKYLARK LN
SANTA CLARITA CA
91350-5776
US

IV. Provider business mailing address

27661 SKYLARK LN
SANTA CLARITA CA
91350-5776
US

V. Phone/Fax

Practice location:
  • Phone: 562-304-0093
  • Fax:
Mailing address:
  • Phone: 562-304-0093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RENDELL ESMANE MANALO
Title or Position: PHYSICIAN
Credential: DO
Phone: 562-304-0093