Mandac, Benjamin Reyes

Mandac, Benjamin Reyes is an sole proprietor health care provider with primary practice located at 710 Lawrence Expy , Santa Clara CA 95051-5173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, which is considered as his primary health care specialty. Mandac, Benjamin Reyes can be contacted via phone (408) 851-9897.

Contact Information

Primary practice address
710 Lawrence Expy Santa Clara CA 95051-5173
Phone: (408) 851-9897
Fax: (408) 851-1199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X G55790 California

Profile Details

NPI number 1427014190
LBN Legal business name Mandac, Benjamin Reyes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2006
Last updated Feb 11th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427014190 NPPES
California MEDICAID 00G557900

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