NPI Code Details Logo

NPI 1235056060

NPI 1235056060 : MANALO MEDICINE CONSULTING PC : SANTA CLARITA, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1235056060
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MANALO MEDICINE CONSULTING PC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/02/2026
-----------------------------------------------------
    Last Update Date     |    07/02/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    27661 SKYLARK LN 
-----------------------------------------------------
    City                 |    SANTA CLARITA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91350-5776
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    562-304-0093
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    27661 SKYLARK LN 
-----------------------------------------------------
    City                 |    SANTA CLARITA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91350-5776
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    562-304-0093
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PHYSICIAN
-----------------------------------------------------
    Name                 |    DR. RENDELL ESMANE MANALO 
-----------------------------------------------------
    Credential           |    DO
-----------------------------------------------------
    Telephone            |    562-304-0093
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207R00000X
-----------------------------------------------------
    Taxonomy Name        |    Internal Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.