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

Mondell Pine Manor II

Organization Assisted Living Facility · NPI 1811772643

Mondell Pine Manor II is an Assisted Living Facility in Palmdale, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

39040 Mondell Pine Ave
Palmdale, CA 93551-6042
Phone: (818) 332-6150
Fax: (805) 578-4986
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 number1811772643
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerome Viray — Administrator · (818) 332-6150
NPI enumeratedAugust 29, 2023
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024
Mailing address1716 Erringer Rd Ste 104, Simi Valley, CA 93065-6506

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