# WILLIAM MANDRICK, M.D., INC.

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

## Provider details

- **NPI number:** 1124200506
- **Authorized official:** DR. WILLIAM MANDRICK MD (CEO)
- **Authorized official phone:** (818) 728-4260

## Contact information

- **Practice address:** 17310 VENTURA BLVD, ENCINO, CA 91316-3904
- **Practice address phone:** (818) 728-4260
- **Mailing address:** 44 HACKAMORE LN, BELL CANYON, CA 91307-1017
- **Mailing address phone:** (818) 716-1103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G83686 | CA | Yes |

## Other

- **Enumeration date:** 11/28/2007
- **Last updated:** 11/28/2007