Individual
BERT R MANDELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 SANTA MONICA BLVD STE 400, SANTA MONICA, CA 90404-2139
(310) 829-2663
Mailing address
2020 SANTA MONICA BLVD STE 400, SANTA MONICA, CA 90404-2139
(310) 829-2663
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G54965
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
G54965
CA
Other
Enumeration date
10/12/2006
Last updated
02/10/2016
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