Individual provider · Type 1 NPI
Lance Mandernack, BS, RTT
Military General Acute Care Hospital · Los Angeles, CA
Practice location
3371 Glendale Blvd, #186
Los Angeles, CA 90039-1825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military General Acute Care Hospital Primary | 2865M2000X | None listed |
Military General Acute Care Hospital: 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 "fi…
About NPI 1760651772
Lance Mandernack, BS, RTT's National Provider Identifier is 1760651772, issued on Feb 22, 2008. The primary taxonomy on file is Military General Acute Care Hospital (2865M2000X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 22, 2008.