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Individual

MRS. MANDANA ABOLLHASSANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1900 SULLIVAN AVE, DALY CITY, CA 94015-2200
(650) 991-5800
(650) 991-6385
Mailing address
312 CANOE CURT, REDWOOD CITY, CA 94065-0004
(650) 722-3041

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A115564
CA
207R00000X
Internal Medicine Physician
A115564
CA
208M00000X
Hospitalist Physician
Primary
A115564
CA

Other

Enumeration date
06/25/2008
Last updated
10/26/2017
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