Manuel Menchaca

NPI 1518530468 · on the registry since 2021 · sole proprietor

Practice

Address: 2180 Johnson Ave
San Luis Obispo, CA 93401
Phone: (805) 781-4275
Organisation at this address: Good Samaritan Shelter
County Of San Luis Obispo
County Of San Luis Obispo
San Luis Obispo Campus Health
Crestwood Behavioral Health, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 181

Additional practice sites

40 Prado Rd, San Luis Obispo, CA

Registry record

Primary taxonomy: 171M00000X
171M00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-07-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California