Individual
AMANDA RUTH MENDELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
8770 WASHINGTON BLVD APT 237, CULVER CITY, CA 90232-2398
(818) 268-2288
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95015447
CA
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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