National Provider Identifier Database

MENA S MANOLLY SR, CPO – NPI #1013697002
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

MENA S MANOLLY SR, CPO
8845 BARTON ST
RIVERSIDE, CA92508-3243
Phone: 951-966-7661
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X
Orthotist 222Z00000X

* Indicates primary specialty

NPI Profile & details for MENA S MANOLLY SR

NPI Number 1013697002
Credentials CPO
Entity Individual
Enumeration date 07/24/2023
Last updated 06/07/2024 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • CA License #: CPO03356
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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