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Individual

DR. HILARY DIAMOND MANDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
16111 PLUMMER ST., SEPULVEDA, CA 91343
(818) 891-7711
Mailing address
11728 DOROTHY ST, APT. 202, LOS ANGELES, CA 90049-5560
(913) 669-0582
(913) 789-0914

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
04-27711
KS
207N00000X
Dermatology Physician
117321
MO
207N00000X
Dermatology Physician
190475
NY
207N00000X
Dermatology Physician
59585
NJ
207N00000X
Dermatology Physician
D0063455
MD
207N00000X
Dermatology Physician
Primary
G87885
CA
207N00000X
Dermatology Physician
IL

Other

Enumeration date
07/11/2006
Last updated
07/13/2007
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