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Individual

DR. AMADO DAVID MANDANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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
208D00000X
General Practice Physician
Primary
A32026
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A320260
CA
Enumeration date
11/03/2006
Last updated
04/11/2012
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