Organization
WILLIAM MANDRICK, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM MANDRICK MD (CEO)
(818) 728-4260
Entity
Organization
Contact information
Practice address
17310 VENTURA BLVD, ENCINO, CA 91316-3904
(818) 728-4260
Mailing address
44 HACKAMORE LN, BELL CANYON, CA 91307-1017
(818) 716-1103
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G83686
CA
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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