Mannie Joel Md Inc.

LBN: Mannie Joel Md Inc.
Mannie Joel Md Inc. is an health care organization with primary practice located at 15035 E 14Th St , San Leandro CA 94578-1901. The organization recently has only one registered license in Ambulatory Health Care Facilities / Pain, which is considered as the primary health care specialty. Mannie Joel Md Inc. can be contacted via phone (510) 278-0226, or through Mainarick, Selena M via phone (510) 278-0226.

Contact Information

Primary practice address
15035 E 14Th St San Leandro CA 94578-1901
Phone: (510) 278-0226
Fax: (510) 278-5054
Website:
Map and Directions
Authorized official contact:
Name: Mainarick, Selena M
Phone: (510) 278-0226

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Pain 261QP3300X A34460 California

Profile Details

NPI number 1891938676
LBN Legal business name Mannie Joel Md Inc.
DBA Doing business as
Authorized official Mainarick, Selena M
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2009
Last updated Jun 29th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891938676 NPPES
California MEDICAID 00A344600/1720043599

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