NPI 1073033924
Jensen Domingo Manabat, RADIOLOGICTECHNOLOG
Practice location
- Address
- 550 Saint Charles Dr, Thousand Oaks, CA 91360-3951
- Phone
- (805) 579-0288
- Mailing address
- 2826 Racine St, Simi Valley, CA 93065-2730
Registered specialties
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
Registry record
- NPI
- 1073033924
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Jun 2017
- Record last updated
- 21 Jun 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.