MINGON VALENCIA MAJOR LANCE RADT
NPI 1619726643
Counselor - Addiction (Substance Use Disorder) in San Bernardino, CA

Q: What is Mingon Major Lance's NPI number?

The NPI number for Mingon Major Lance is 1619726643. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Q: What is Mingon Major Lance's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since May 13, 2024

1721 N FAIRFAX DR APT D, SAN BERNARDINO, CA 92404(818) 305-1471 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mingon Valencia Major Lance Radt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINGON VALENCIA MAJOR LANCE RADT (NPI 1619726643) is an individual addiction (substance use disorder) provider in San Bernardino, California, licensed in California (R1509460623) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1619726643

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMINGON VALENCIA MAJOR LANCECredential: RADT

Location Address1721 N FAIRFAX DR APT DSan Bernardino, CA 92404-5500

Mailing Address1721 N Fairfax Dr Apt DSan Bernardino, CA 92404-5500 · (818) 305-1471

Phone(818) 305-1471

Sole ProprietorYes

Enumeration DateMay 13, 2024

NPPES CertifiedMay 13, 2024

✔ NPI 1619726643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · R1509460623

1721 N FAIRFAX DR APT D, San Bernardino, CA 92404

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mingon Major Lance's NPI number?

The NPI number for Mingon Major Lance is 1619726643. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Mingon Major Lance located?

Mingon Major Lance practices at 1721 N Fairfax Dr Apt D, San Bernardino, CA 92404. The listed phone number is (818) 305-1471.

What is Mingon Major Lance's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mingon Major Lance was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.