Organization
AMADO D. MANDANI M.D.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMADO DAVID MANDANI M.D. (PRESIDENT)
(626) 962-7886
Entity
Organization
Contact information
Practice address
14338 RAMONA BLVD, BALDWIN PARK, CA 91706-3241
(626) 962-7886
(626) 962-4636
Mailing address
14338 RAMONA BLVD, BALDWIN PARK, CA 91706-3241
(626) 962-7886
(626) 962-4636
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A32026
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A320260
—
CA
Enumeration date
05/01/2008
Last updated
05/01/2008
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