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Mr. Conrado Villasenor Manimbo
Non-emergency Medical Transport (VAN) in Anaheim, California
NPI 1124305255

Conrado Villasenor Manimbo is a Non-emergency Medical Transport (VAN) based in Anaheim, CA. Conrado Villasenor Manimbo practices in Anaheim, CA. The NPI Number for Conrado Villasenor Manimbo is 1124305255 and holds a License No. (California).

The current practice location address for Conrado Villasenor Manimbo is 1325 N. Red Gum St., Anaheim, CA and can be reached out via phone at 714-238-9005 and via fax at 714-238-9085.

Location: 1325 N. Red Gum St., Anaheim, CA, 92806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124305255
Provider Name
Conrado Villasenor Manimbo
Credential
Provider Entity Type
Individual
Gender
Male
Address
1325 N. Red Gum St., Anaheim, CA, 92806
Phone Number
714-238-9005
Fax Number
714-238-9085
Provider Enumeration Date
11/03/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MTN01213F 05 CA
institution
Provider Business Practice Location Address Details
Address
1325 N. Red Gum St.
City
Anaheim
State
California
Zip
92806
Phone Number
714-238-9005
Fax Number
714-238-9085
person
Provider Business Mailing Address Details
Address
1325 N. Red Gum St.
City
Anaheim
State
California
Zip
92806
Phone Number
714-238-9005
Fax Number
714-238-9085
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
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Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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