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Organization
STEPHANIE J MANDELMAN M D INC
Active
Organization
STEPHANIE J MANDELMAN M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE J MANDELMAN M D INC (OWNER)
(805) 496-0880
Entity
Organization
Contact information
Practice address
1250 LA VENTA DR, 101B, WESTLAKE VILLAGE, CA 91361-3702
(805) 496-0880
(805) 496-6670
Mailing address
1250 LA VENTA DR, 101B, WESTLAKE VILLAGE, CA 91361-3702
(805) 496-0880
(805) 496-6670
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A68965
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A68965
MEDICAL LICENSE
CA
Enumeration date
05/09/2011
Last updated
07/26/2012
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