Individual
DR. MANDANA RASTEGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11301 WILSHIRE BLVD BLDG 500 6N, RM 6029, LOS ANGELES, CA 90073
(310) 560-8949
Mailing address
11301 WILSHIRE BLVD BLDG 500 6N, RM 6029, LOS ANGELES, CA 90073
(310) 560-8949
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
107887
CA
282N00000X
General Acute Care Hospital
050992
CT
Other
Enumeration date
06/11/2008
Last updated
02/06/2025
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