Provider Demographics
NPI:1427456169
Name:MANCHENO, ARTURO (DC)
Entity type:Individual
Prefix:DR
First Name:ARTURO
Middle Name:
Last Name:MANCHENO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4990 APPIAN WAY
Mailing Address - Street 2:
Mailing Address - City:EL SOBRANTE
Mailing Address - State:CA
Mailing Address - Zip Code:94803-1945
Mailing Address - Country:US
Mailing Address - Phone:510-734-4636
Mailing Address - Fax:
Practice Address - Street 1:4990 APPIAN WAY
Practice Address - Street 2:
Practice Address - City:EL SOBRANTE
Practice Address - State:CA
Practice Address - Zip Code:94803-1945
Practice Address - Country:US
Practice Address - Phone:510-734-4636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-11
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26773111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor