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Mannie Joel Md Inc.
Pain Clinic/Center in San Leandro, California
NPI 1891938676

Mannie Joel Md Inc. is a Pain Clinic/Center based in San Leandro, CA and is specialized in Pain. Mannie Joel Md Inc. practices in San Leandro, CA. The NPI Number for Mannie Joel Md Inc. is 1891938676 and holds a License No. A34460 (California).

The current practice location address for Mannie Joel Md Inc. is 15035 E 14Th St, San Leandro, CA and can be reached out via phone at 510-278-0226 and via fax at 510-278-5054.

Location: 15035 E 14Th St, San Leandro, CA, 94578-1901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891938676
Provider Name
Mannie Joel Md Inc.
Credential
Provider Entity Type
Organization
Address
15035 E 14Th St, San Leandro, CA, 94578-1901
Phone Number
510-278-0226
Fax Number
510-278-5054
Provider Enumeration Date
04/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A344600/1720043599 05 CA
institution
Provider Business Practice Location Address Details
Address
15035 E 14Th St
City
San Leandro
State
California
Zip
94578-1901
Phone Number
510-278-0226
Fax Number
510-278-5054
person
Provider Business Mailing Address Details
Address
15035 E 14Th St
City
San Leandro
State
California
Zip
94578-1901
Phone Number
510-278-0226
Fax Number
510-278-5054
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
261QP3300X
License No.
A34460 (California)
Definition
Definition to come...
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