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

Mr. Mena S Manolly Sr., CPO

Individual provider Orthotist · NPI 1013697002

Mr. Mena S Manolly Sr., CPO is an Orthotist in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

8845 Barton St
Riverside, CA 92508-3243
Phone: (951) 966-7661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X
Orthotist Taxonomy 222Z00000X · Licence CPO03356 (CA)
Prosthetist Taxonomy 224P00000X · Licence CPO03356 (CA)

Record details

NPI number1013697002
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorYes
NPI enumeratedJuly 24, 2023
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024

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