Individual
MRS. ANGELA MARIE MANDAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2741 WOODSTOCK RD, LOS ALAMITOS, CA 90720-4440
(562) 430-1202
Mailing address
2741 WOODSTOCK RD, LOS ALAMITOS, CA 90720-4440
(562) 430-1202
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP7462
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP7462
STATE LICENSE
CA
Enumeration date
03/23/2007
Last updated
07/08/2007
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