Provider Demographics
NPI:1306926472
Name:MANALO, ERLINDA D (MD)
Entity type:Individual
Prefix:
First Name:ERLINDA
Middle Name:D
Last Name:MANALO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2750 GATEWAY OAKS DR STE 150
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95833-3668
Mailing Address - Country:US
Mailing Address - Phone:916-887-7398
Mailing Address - Fax:916-503-3886
Practice Address - Street 1:1020 29TH ST STE 480
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816
Practice Address - Country:US
Practice Address - Phone:916-887-0780
Practice Address - Fax:916-887-0786
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2018-06-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA516812080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A516810Medicaid