person
Jensen Domingo Manabat, RADIOLOGICTECHNOLOG
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Thousand Oaks, California
NPI 1073033924

Jensen Domingo Manabat is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Simi Valley, CA. Jensen Domingo Manabat practices in Thousand Oaks, CA and has the professional credentials of RADIOLOGICTECHNOLOG. The NPI Number for Jensen Domingo Manabat is 1073033924 and holds a License No. RHF00085813 (California).

The current practice location address for Jensen Domingo Manabat is 550 Saint Charles Dr, Thousand Oaks, CA and can be reached out via phone at 805-579-0288.

Location: 550 Saint Charles Dr, Thousand Oaks, CA, 93065-2730
person
Provider Profile Details
NPI Number
1073033924
Provider Name
Jensen Domingo Manabat
Credential
RADIOLOGICTECHNOLOG
Provider Entity Type
Individual
Gender
Male
Address
550 Saint Charles Dr, Thousand Oaks, CA, 93065-2730
Phone Number
805-579-0288
Fax Number
Provider Enumeration Date
06/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
550 Saint Charles Dr
City
State
Zip
91360-3951
Phone Number
805-579-0288
Fax Number
person
Provider Business Mailing Address Details
Address
550 Saint Charles Dr
City
State
Zip
91360-3951
Phone Number
805-579-0288
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
License No.
RHF00085813 (California)
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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