Individual
DONALD MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1140 W LA VETA AVE STE 430, ORANGE, CA 92868-4226
(714) 543-5555
(714) 836-2427
Mailing address
1140 W LA VETA AVE STE 430, ORANGE, CA 92868-4226
(714) 543-5555
(714) 836-2427
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
C41581
CA
207RC0000X
Cardiovascular Disease Physician
Primary
C41581
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060062841
RAILROAD MEDICARE
CA
01
—
DB3373
RAILROAD MEDICARE
CA
01
—
W13988
MEDICARE PTAN
CA
01
—
W13988A
MEDICARE PTAN
CA
Enumeration date
06/13/2005
Last updated
11/08/2021
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