IndividualActive
Lance Mandernack, BS, RTT
NPI 1760651772 · Military General Acute Care Hospital · Los Angeles, CA
Provider details
- NPI number
- 1760651772
- Entity type
- Individual
- Primary specialty
- Military General Acute Care HospitalHospitals
- Credential
- BS, RTT
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Hospitals
Practice location
3371 Glendale Blvd
#186
Los Angeles, CA 90039-1825
Phone: (323) 666-5364
Approximate (ZIP-level) locationGet directions
Mailing address
3371 Glendale Blvd
Los Angeles, CA 90039-1825
Registry dates
- Enumerated
- 2008-02-22
- Last updated
- 2008-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.