Manaloto, Theresa

Manaloto, Theresa is an individual health care provider with primary practice located at 8001 Madison Ave , Citrus Heights CA 95610-7901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Manaloto, Theresa can be contacted via phone (916) 536-2420.

Contact Information

Primary practice address
8001 Madison Ave Citrus Heights CA 95610-7901
Phone: (916) 536-2420
Fax: (916) 962-0335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A93110 California

Profile Details

NPI number 1588784896
LBN Legal business name Manaloto, Theresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Nov 12th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588784896 NPPES
California Other A93110 STATE LICENSE
California MEDICAID 00A931100 STATE LICENSE

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