Individual
DR. ALAN IRVING MANDELBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4418 VINELAND AVE, #106, NORTH HOLLYWOOD, CA 91602-3457
(818) 762-0647
(818) 762-7834
Mailing address
4418 VINELAND AVE, 106, NORTH HOLLYWOOD, CA 91602-3457
(818) 762-0647
(818) 762-7834
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G39019
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G390190
—
CA
Enumeration date
01/16/2007
Last updated
04/22/2008
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