MR. MICHAEL WILLIAM MANDEL NPI 1790924074

NPI Information

  • NPI: 1790924074
  • Provider Name: MR. MICHAEL WILLIAM MANDEL
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Individual
  • Address: 4510 PERALTA BLVD STE 1
    FREMONT, CA
    ZIP 94536
  • Phone: (510) 713-3202

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NPI Details

MR. Michael William Mandel is a substance abuse rehabilitation facility in Fremont, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MR. Michael William Mandel NPI is 1790924074. 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:

4510 PERALTA BLVD STE 1
FREMONT, CA
ZIP 94536-755
Phone: (510) 713-3202
Fax: (510) 713-0684

The enumeration date for this NPI number is 2/11/2009 and was last updated on 2/11/2009.

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
1324500000XSubstance Abuse Rehabilitation Facility010010ANCALIFORNIAYes

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: 3/30/2025

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