Provider Demographics
NPI:1386524825
Name:MANALO, MATTHEW JACOB SINLAO (PTA)
Entity type:Individual
Prefix:
First Name:MATTHEW JACOB
Middle Name:SINLAO
Last Name:MANALO
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:21072 TORREY PINE LN
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6632
Mailing Address - Country:US
Mailing Address - Phone:949-981-7518
Mailing Address - Fax:
Practice Address - Street 1:3002 DOW AVE
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-7233
Practice Address - Country:US
Practice Address - Phone:714-389-9306
Practice Address - Fax:714-389-9375
Is Sole Proprietor?:No
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA53296208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation