Mannie Joel in San Leandro - Specialist

Mannie Joel - NPI 1720043599

Mannie Joel is a Specialist in San Leandro, California. Mannie Joel practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mannie Joel is 1720043599. The last update date is 2010-06-30.

Mannie Joel's current location address is 15035 E 14th St, San Leandro, California. You can contact this provider via phone number 5102780226 and fax number 5102785054. The mailing address for Mannie Joel is 15035 E 14th St, San Leandro, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mannie Joel
Address 15035 E 14th St, San Leandro, California
Phone Number 5102780226
Fax Number 5102785054
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1720043599
Provider Enumeration Date 2006-04-17
Last Updated Date 2010-06-30

Provider Mailing Address Detail

Address 15035 E 14th St
City San Leandro
State California (CA)
Post Code 945781901
Phone Number 5102780226
Fax Number 5102785054

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No A34460
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Mannie Joel

What is the Mannie Joel's 1720043599?

The Mannie Joel's NPI (National Provider Identifier) Number is 1720043599. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Mannie Joel located?

The Mannie Joel is located at 15035 E 14Th St, San Leandro, CA 945781901.

What is the area of specialization for Mannie Joel, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mannie Joel is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date did the Mannie Joel receive its 1720043599 assignment from the Centers for Medicare & Medicaid Services?

The Mannie Joel was assigned its 1720043599 by the Centers for Medicare & Medicaid Services on 2006-04-17.

As of what date were the details related to Mannie Joel most recently updated or revised?

The information pertaining to Mannie Joel, including its address, specialty, and other relevant details, was last updated or revised on 2010-06-30.

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