LANCE MANDERNACK BS RTT NPI 1760651772

NPI Information

  • NPI: 1760651772
  • Provider Name: LANCE MANDERNACK, BS, RTT
  • Classification: Military Hospital - 2865M2000X
  • Specialization: Military General Acute Care Hospital
  • Entity Type: Individual
  • Address: 3371 GLENDALE BLVD
    #186
    LOS ANGELES, CA
    ZIP 90039
  • Phone: (323) 666-5364

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NPI Details

Lance Mandernack, BS, RTT is a military general acute care hospital military hospital in Los Angeles, CA. The provider is 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-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as pass-through items. Lance Mandernack, BS, RTT NPI is 1760651772. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3371 GLENDALE BLVD
#186
LOS ANGELES, CA
ZIP 90039-825
Phone: (323) 666-5364

The enumeration date for this NPI number is 2/22/2008 and was last updated on 2/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12865M2000XMilitary HospitalMilitary General Acute Care HospitalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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