Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL WILLIAM MANDEL
Active Sole ProprietorMR. MICHAEL WILLIAM MANDEL is a Substance Abuse Rehabilitation Facility healthcare provider located in FREMONT, California. NPI 1790924074 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · FREMONT, CA
Registration Details
- NPI Number
- 1790924074
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 11, 2009 (17.549963426253 yrs)
- Last Updated
- Feb 11, 2009
- License
-
010010AN (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4510 PERALTA BLVD STE 1FREMONT, CA, 945365755Browse CA providers · Browse ZIP 94536
- Phone
- 5107133202
- Fax
- 5107130684
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
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.