Benjamin Reyes Mandac in Santa Clara - Pediatric Rehabilitation Medicine
Benjamin Reyes Mandac - NPI 1427014190
Benjamin Reyes Mandac is a Pediatric Rehabilitation Medicine in Santa Clara, California. Benjamin Reyes Mandac practices all healthcare services and medical treatments related to Pediatric Rehabilitation Medicine. The NPI Number for Benjamin Reyes Mandac is 1427014190. The last update date is 2022-02-11.
Benjamin Reyes Mandac's current location address is 710 Lawrence Expy, Santa Clara, California. You can contact this provider via phone number 4088519897 and fax number 4088511199. The mailing address for Benjamin Reyes Mandac is 710 Lawrence Expy, Santa Clara, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin Reyes Mandac |
|---|---|
| Address | 710 Lawrence Expy, Santa Clara, California |
| Phone Number | 4088519897 |
| Fax Number | 4088511199 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1427014190 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2022-02-11 |
Provider Mailing Address Detail
| Address | 710 Lawrence Expy |
|---|---|
| City | Santa Clara |
| State | California (CA) |
| Post Code | 950515173 |
| Phone Number | 4088519897 |
| Fax Number | 4088511199 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Rehabilitation Medicine |
|---|---|
| Taxonomy | 2081P0010X |
| Licence No | G55790 |
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Definition: A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosoci |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G557900 | CA | -- |
Post Comment/ Review Below
What is the Benjamin Reyes Mandac's unique identification number?
The Benjamin Reyes Mandac has been assigned the NPI (National Provider Identifier) Number 1427014190 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Benjamin Reyes Mandac is physically located?
The Benjamin Reyes Mandac is situated at the following address: 710 Lawrence Expy, Santa Clara, CA 950515173.
What is Benjamin Reyes Mandac'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 Benjamin Reyes Mandac is Pediatric Rehabilitation Medicine, and the taxonomy classification code that categorizes this area of expertise is 2081P0010X.
On what date was the 1427014190 assigned to Benjamin Reyes Mandac?
The Benjamin Reyes Mandac was issued its 1427014190 on 2006-04-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Benjamin Reyes Mandac's information last updated?
The Benjamin Reyes Mandac's information was last updated on 2022-02-11.