Lance Mandernack in Los Angeles - Military General Acute Care Hospital
Lance Mandernack - NPI 1760651772
Lance Mandernack is a Military General Acute Care Hospital in Los Angeles, California. Lance Mandernack practices all healthcare services and medical treatments related to Military General Acute Care Hospital. The NPI Number for Lance Mandernack is 1760651772. The last update date is 2008-02-22.
Lance Mandernack's current location address is 3371 Glendale Blvd, Los Angeles, California. You can contact this provider via phone number 3236665364. The mailing address for Lance Mandernack is 3371 Glendale Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lance Mandernack |
|---|---|
| Address | 3371 Glendale Blvd, Los Angeles, California |
| Phone Number | 3236665364 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | BS, RTT |
NPI Number Detail
| NPI Number | 1760651772 |
|---|---|
| Provider Enumeration Date | 2008-02-22 |
| Last Updated Date | 2008-02-22 |
Provider Mailing Address Detail
| Address | 3371 Glendale Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900391825 |
| Phone Number | 3236665364 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military General Acute Care Hospital |
|---|---|
| Taxonomy | 2865M2000X |
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Definition: A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deploy |
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What is the unique identifier code issued to Lance Mandernack by the Centers for Medicare & Medicaid Services?
The Lance Mandernack has been assigned the NPI (National Provider Identifier) 1760651772. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Lance Mandernack is physically located?
The Lance Mandernack is physically situated at the following address: 3371 Glendale Blvd, Los Angeles, CA, 900391825.
What is Lance Mandernack's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lance Mandernack's specialized field of practice is Military General Acute Care Hospital, and the corresponding taxonomy code that categorizes this area of specialization is 2865M2000X.
On what date did the Lance Mandernack receive the assignment of its 1760651772 from the Centers for Medicare & Medicaid Services?
The Lance Mandernack was issued its 1760651772 by the Centers for Medicare & Medicaid Services on 2008-02-22.
When was the information related to Lance Mandernack most recently updated or refreshed?
The details pertaining to the Lance Mandernack, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-22.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC