1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Military Hospital
  6. NPI Profile

LANCE MANDERNACK BS, RTT
NPI 1760651772
Military Hospital - Military General Acute Care Hospital in Los Angeles, CA

Active since February 22, 2008
3371 GLENDALE BLVD, #186, LOS ANGELES, CA 90039(323) 666-5364 Get Directions Write a Review

NPPES record last updated: February 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lance Mandernack Bs, Rtt NPPES

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

LANCE MANDERNACK BS, RTT (NPI 1760651772) is an individual military general acute care hospital provider in Los Angeles, California and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1760651772
Entity TypeIndividualMale
Primary Taxonomy2865M2000X
Provider Legal NameLANCE MANDERNACKCredential: BS, RTT
Location Address3371 GLENDALE BLVD, #186Los Angeles, CA 90039-1825
Mailing Address3371 Glendale Blvd, #186Los Angeles, CA 90039-1825 · (323) 666-5364
Phone(323) 666-5364
Sole ProprietorYes
Enumeration DateFebruary 22, 2008
✔ NPI 1760651772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Hospital · Military General Acute Care HospitalHospitals
Taxonomy Code2865M2000X
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.
3371 GLENDALE BLVD, Los Angeles, CA 90039
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 Lance Mandernack's NPI number?

The NPI number for Lance Mandernack is 1760651772. It was assigned to this individual provider in the NPPES registry on February 22, 2008.

Where is Lance Mandernack located?

Lance Mandernack practices at 3371 Glendale Blvd #186, Los Angeles, CA 90039. The listed phone number is (323) 666-5364.

What is Lance Mandernack's specialty?

The primary specialty registered for this NPI is Military Hospital, specializing in Military General Acute Care Hospital, with taxonomy code 2865M2000X.

When was this NPI record last updated?

The NPPES record for Lance Mandernack was last updated on February 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.