Cruz, Maximillian Manalo

Cruz, Maximillian Manalo is an individual health care provider with primary practice located at 400 N. Pepper Avenue , Colton CA 92324. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cruz, Maximillian Manalo can be contacted via phone (909) 580-1400.

Contact Information

Primary practice address
400 N. Pepper Avenue Colton CA 92324
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16563 California

Profile Details

NPI number 1538102751
LBN Legal business name Cruz, Maximillian Manalo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated May 15th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers