JEZEREY MANALO
NPI 1588947972
Licensed Psychiatric Technician in Los Angeles, CA

Active since September 22, 2011
2414 N BROADWAY STE 201, LOS ANGELES, CA 90031(323) 644-2000 Get Directions Write a Review

NPPES record last updated: September 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jezerey Manalo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEZEREY MANALO (NPI 1588947972) is an individual licensed psychiatric technician in Los Angeles, California, licensed in California (PT35302) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1588947972
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameJEZEREY MANALO
Location Address2414 N BROADWAY STE 201Los Angeles, CA 90031-2359
Mailing Address2414 N Broadway Ste 201Los Angeles, CA 90031-2359 · (323) 644-2000
Sole ProprietorNo
Enumeration DateSeptember 22, 2011
NPI 1588947972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License Licensed in CA · PT35302
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
2414 N BROADWAY STE 201, Los Angeles, CA 90031

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Practitioner
2414 N BROADWAY STE 201
LOS ANGELES, CA 90031
Licensed Vocational Nurse
2414 N BROADWAY STE 201
LOS ANGELES, CA 90031
Licensed Psychiatric Technician
2414 N BROADWAY STE 201
LOS ANGELES, CA 90031
Rehabilitation Practitioner
2414 N BROADWAY STE 201
LOS ANGELES, CA 90031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jezerey Manalo's NPI number?

The NPI number for Jezerey Manalo is 1588947972. It was assigned to this individual provider in the NPPES registry on September 22, 2011.

Where is Jezerey Manalo located?

Jezerey Manalo practices at 2414 N Broadway Ste 201, Los Angeles, CA 90031. The listed phone number is (323) 644-2000.

What is Jezerey Manalo's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Jezerey Manalo was last updated on September 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.