# AMADO D. MANDANI M.D.,INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053587832
- **Authorized official:** AMADO DAVID MANDANI M.D. (PRESIDENT)
- **Authorized official phone:** (626) 962-7886

## Contact information

- **Practice address:** 14338 RAMONA BLVD, BALDWIN PARK, CA 91706-3241
- **Practice address phone:** (626) 962-7886
- **Practice address fax:** (626) 962-4636
- **Mailing address:** 14338 RAMONA BLVD, BALDWIN PARK, CA 91706-3241
- **Mailing address phone:** (626) 962-7886
- **Mailing address fax:** (626) 962-4636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | A32026 | CA | Yes |

## Other

- **Enumeration date:** 05/01/2008
- **Last updated:** 05/01/2008