Organization
EJD MEDICAL CORPORATION
Active
Other names
RB Spine Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MANTELL MD (PRESIDENT)
(858) 345-4887
Entity
Organization
Contact information
Practice address
10801 THORNMINT RD, SUITE 250, SAN DIEGO, CA 92127-2423
(858) 345-4887
(855) 450-0999
Mailing address
10801 THORNMINT RD, SUITE 250, SAN DIEGO, CA 92127-2423
(858) 345-4887
(855) 450-0999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A39992
CA
2084N0400X
Neurology Physician
Primary
A75879
CA
Other
Enumeration date
06/18/2009
Last updated
03/11/2015
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