Organization
DR. VIJAY MANDYAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY MANDYAM DPM (OWNER)
(818) 599-3997
Entity
Organization
Contact information
Practice address
43713 20TH ST W STE 5, LANCASTER, CA 93534-4628
(661) 945-8700
(661) 945-8757
Mailing address
43713 20TH ST W STE 5, LANCASTER, CA 93534-4628
(661) 945-8700
(661) 945-8757
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
01/18/2024
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