Organization
ALAN MANTELL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN MANTELL M.D. (OWNER)
(818) 790-3588
Entity
Organization
Contact information
Practice address
1818 VERDUGO BLVD, SUITE 304, GLENDALE, CA 91208-1403
(818) 790-3588
(818) 790-6518
Mailing address
1818 VERDUGO BLVD, SUITE 304, GLENDALE, CA 91208-1403
(818) 790-3588
(818) 790-6518
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G18862
CA
Other
Enumeration date
11/04/2010
Last updated
03/04/2015
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