Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN REYES MANDAC, MD
Active Sole ProprietorBENJAMIN REYES MANDAC, MD is a Pediatric Rehabilitation Medicine healthcare provider located in SANTA CLARA, California. NPI 1427014190 is currently active in the NPPES registry. Verify at CMS.
Pediatric Rehabilitation Medicine · SANTA CLARA, CA
Registration Details
- NPI Number
- 1427014190
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 21, 2006 (20.327865723144 yrs)
- Last Updated
- Aug 15, 2024
- Licenses
-
G55790 (CA)G55790 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
710 LAWRENCE EXPYSANTA CLARA, CA, 950515173Browse CA providers · Browse ZIP 95051
- Phone
- 4088515000
- Primary Specialty
-
Pediatric Rehabilitation Medicine
2081P0010X
- Additional Specialty
- Pediatrics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.