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

Mondell Pine Manor I

Organization Assisted Living Facility · NPI 1508603986

Mondell Pine Manor I is an Assisted Living Facility in Palmdale, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

39046 Mondell Pine Ave
Palmdale, CA 93551-6042
Phone: (818) 332-6150
Fax: (805) 578-9486
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1508603986
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerome Viray — Licensee · (818) 332-6150
NPI enumeratedJuly 11, 2024
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024
Mailing address1716 Erringer Rd Ste 104, Simi Valley, CA 93065-6506

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