Individual
NEIL BRIAN MANSDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
555 N TUSTIN ST, ORANGE, CA 92867-7611
(714) 633-0040
(714) 633-0045
Mailing address
555 N TUSTIN ST, ORANGE, CA 92867-7611
(714) 633-0040
(714) 633-0045
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
Primary
E4222
CA
213ES0131X
Foot Surgery Podiatrist
E4222
CA
Other
Enumeration date
07/05/2006
Last updated
07/23/2024
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