Healthcare Provider Details

I. General information

NPI: 1598902934
Provider Name (Legal Business Name): MANIGAULT & ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2009
Last Update Date: 01/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1190 ALAMO PINTADO RD
SOLVANG CA
93463-9760
US

IV. Provider business mailing address

1190 ALAMO PINTADO RD
SOLVANG CA
93463-9760
US

V. Phone/Fax

Practice location:
  • Phone: 866-484-0658
  • Fax: 866-484-0668
Mailing address:
  • Phone: 866-484-0658
  • Fax: 866-484-0668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID A MANIGAULT
Title or Position: PRESIDENT/CEO
Credential:
Phone: 805-680-1306