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
Mailing address4510 Peralta Blvd Ste 1, Fremont, CA 94536-5755

Other providers in Fremont