Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elijah Manzo, BA

Individual provider Rehabilitation Practitioner · NPI 1255819066

Elijah Manzo, BA is a Rehabilitation Practitioner in Anaheim, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

1360 S Anaheim Blvd
Anaheim, CA 92805-6205
Phone: (714) 225-0169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1855 W Katella Ave Ste 150, Orange, CA 92867-3432 — (714) 399-3480

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)

Record details

NPI number1255819066
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorYes
NPI enumeratedAugust 2, 2018
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing address1360 S Anaheim Blvd, Anaheim, CA 92805-6258

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