# DANILO R MANIMTIM M D INC DANILO R MANIMTIM PRES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639463417
- **Authorized official:** DANILO R MANIMTIM M.D. (DIRECT OWNER)
- **Authorized official phone:** (559) 435-4168

## Contact information

- **Practice address:** 6101 N FRESNO ST STE 101, FRESNO, CA 93710-8606
- **Practice address phone:** (559) 435-4168
- **Practice address fax:** (559) 435-6733
- **Mailing address:** 6101 N FRESNO ST STE 101, FRESNO, CA 93710-8606
- **Mailing address phone:** (559) 435-4168
- **Mailing address fax:** (559) 435-6733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A36441 | CA | Yes |

## Other

- **Enumeration date:** 06/08/2011
- **Last updated:** 10/25/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A364410 | — | CA |