Organization
MAY MEDICAL MANAGEMENT CORPORATION
Active
Other names
S MANDILAWI MD MEDICAL CORP
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN GLOVER (MANAGER)
(909) 596-4879
Entity
Organization
Contact information
Practice address
1234 FOOTHILL BLVD, LAVERNE, CA 91750
(909) 596-4879
(909) 670-0219
Mailing address
1234 FOOTHILL BLVD, LAVERNE, CA 91750
(909) 596-4879
(909) 670-0219
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0046920
—
CA
Enumeration date
10/24/2006
Last updated
02/26/2014
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