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Individual

JONDAVID MENTEER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6450 W SUNSET BLVD, MS# 34, LOS ANGELES, CA 90028-7315
(323) 361-2461
(323) 361-1513
Mailing address
6430 W SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7901
(323) 361-2461
(323) 361-1513

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
A86946
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A869460
CA
01
00A869460 F98
CAL OPTIMA
CA
Enumeration date
10/04/2006
Last updated
08/09/2011
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