Individual provider · Type 1 NPI
Mannie Joel, MD
Specialist · San Leandro, CA
NPI number
1720043599
Active
Practice location
15035 E 14th St
San Leandro, CA 94578-1901
Fax (510) 278-5054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | A34460 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1720043599
Mannie Joel, MD's National Provider Identifier is 1720043599, issued on Apr 17, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Leandro, CA. The record was last updated on Jun 30, 2010.