Ted M Mandryk in Ventura - Emergency Medical Services
Ted M Mandryk - NPI 1164413886
Ted M Mandryk is a Emergency Medical Services in Ventura, California. Ted M Mandryk practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Ted M Mandryk is 1164413886. The last update date is 2008-02-29.
Ted M Mandryk's current location address is 3291 Loma Vista Rd, Ventura, California. You can contact this provider via phone number 8056526165. The mailing address for Ted M Mandryk is 3291 Loma Vista Rd, Ventura, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ted M Mandryk |
|---|---|
| Address | 3291 Loma Vista Rd, Ventura, California |
| Phone Number | 8056526165 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MEDICAL DO |
NPI Number Detail
| NPI Number | 1164413886 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2008-02-29 |
Provider Mailing Address Detail
| Address | 3291 Loma Vista Rd |
|---|---|
| City | Ventura |
| State | California (CA) |
| Post Code | 930033099 |
| Phone Number | 8056526165 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medical Services |
|---|---|
| Taxonomy | 207Pe0004X |
| Licence No | G64121 |
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Definition: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G641210 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ted M Mandryk by the Centers for Medicare & Medicaid Services (CMS)?
The Ted M Mandryk has been assigned the NPI (National Provider Identifier) 1164413886. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Ted M Mandryk is physically located?
The Ted M Mandryk is situated at the following address: 3291 Loma Vista Rd, Ventura, CA 930033099.
What is Ted M Mandryk's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ted M Mandryk is Emergency Medical Services, and the taxonomy classification code that categorizes this area of expertise is 207Pe0004X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164413886 to Ted M Mandryk?
The Ted M Mandryk received its 1164413886 assignment from the Centers for Medicare & Medicaid Services on 2005-11-02.
As of what date were the details pertaining to Ted M Mandryk last refreshed?
The information related to the Ted M Mandryk, including its address, specialty, and other relevant details, was last updated on 2008-02-29.
NPI Number: 1932102142
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