Organization
BEDFORD MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL M MANDEL ESQ (CEO)
(310) 409-2300
Entity
Organization
Contact information
Practice address
436 N BEDFORD DR STE 101, BEVERLY HILLS, CA 90210-4323
(310) 409-2300
Mailing address
436 N BEDFORD DR STE 101, BEVERLY HILLS, CA 90210-4323
(310) 409-2300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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