Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael William Mandel

Individual provider Substance Abuse Rehabilitation Facility · NPI 1790924074

Mr. Michael William Mandel is a Substance Abuse Rehabilitation Facility in Fremont, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

4510 Peralta Blvd Ste 1
Fremont, CA 94536-5755
Phone: (510) 713-3202
Fax: (510) 713-0684
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 010010AN (CA)

Record details

NPI number1790924074
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 11, 2009
Last updated in NPPESFebruary 11, 2009

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