Individual
DR. AMY MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5220 CLAREMONT AVE, OAKLAND, CA 94618-1033
(510) 428-3044
Mailing address
5220 CLAREMONT AVE, OAKLAND, CA 94618-1033
(510) 428-3044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A81373
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A813730
—
CA
05
—
GR0095800
—
CA
Enumeration date
08/18/2006
Last updated
07/08/2007
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