Individual
MR. CONRADO VILLASENOR MANIMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1325 N. RED GUM ST., SUITE 14, ANAHEIM, CA 92806
(714) 238-9005
(714) 238-9085
Mailing address
1325 N. RED GUM ST., SUITE 14, ANAHEIM, CA 92806
(714) 238-9005
(714) 238-9085
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN01213F
—
CA
Enumeration date
11/03/2011
Last updated
11/03/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us