Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENSEN DOMINGO MANABAT, RADIOLOGIC TECHNOLOG
Active Sole ProprietorJENSEN DOMINGO MANABAT, RADIOLOGIC TECHNOLOG is a Portable X-Ray and/or Other Portable Diagnostic Imaging healthcare provider located in THOUSAND OAKS, California. NPI 1073033924 is currently active in the NPPES registry. Verify at CMS.
Portable X-Ray and/or Other Portable Diagnostic Imaging · THOUSAND OAKS, CA
Registration Details
- NPI Number
- 1073033924
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2017 (8.9620930406687 yrs)
- Last Updated
- Jun 21, 2017
- License
-
RHF00085813 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
550 SAINT CHARLES DRTHOUSAND OAKS, CA, 913603951Browse CA providers · Browse ZIP 91360
- Phone
- 8055790288
- Primary Specialty
-
Portable X-Ray and/or Other Portable Diagnostic Imaging
335V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.