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Contact Information

BENJAMIN R MANDAC, MD
710 LAWRENCE EXPY
SANTA CLARA, CA95051-5173
 Phone: 408-851-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Rehabilitation Medicine

2081P0010X 25 Physician/Physical Medicine and Rehabilitation
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BENJAMIN R MANDAC · (Male)

NPI Number 1427014190
Status Active
Credentials MD
Entity Individual
Enumeration date 04/21/2006
Last updated 08/15/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G55790
  • CA Medicaid 00G557900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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