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Lance Mandernack, BS,RTT
Military General Acute Care Hospital in Los Angeles, California
NPI 1760651772

Lance Mandernack is a Military General Acute Care Hospital based in Los Angeles, CA and is specialized in Military General Acute Care Hospital. Lance Mandernack practices in Los Angeles, CA and has the professional credentials of BS,RTT. The NPI Number for Lance Mandernack is 1760651772 and holds a License No. (California).

The current practice location address for Lance Mandernack is 3371 Glendale Blvd, Los Angeles, CA and can be reached out via phone at 323-666-5364.

Location: 3371 Glendale Blvd, Los Angeles, CA, 90039-1825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760651772
Provider Name
Lance Mandernack
Credential
BS,RTT
Provider Entity Type
Individual
Gender
Male
Address
3371 Glendale Blvd, Los Angeles, CA, 90039-1825
Phone Number
323-666-5364
Fax Number
Provider Enumeration Date
02/22/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3371 Glendale Blvd
City
Los Angeles
State
California
Zip
90039-1825
Phone Number
323-666-5364
Fax Number
person
Provider Business Mailing Address Details
Address
3371 Glendale Blvd
City
Los Angeles
State
California
Zip
90039-1825
Phone Number
323-666-5364
Fax Number
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Military Hospital
Speciality
Military General Acute Care Hospital
Taxonomy
2865M2000X
License No.
()
Definition
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.
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