Individual
DR. WILLIAM MANDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
WILLIAM MANDRICK
Contact information
Practice address
17310 VENTURA BLVD, ENCINO, CA 91316-3904
(818) 728-4260
Mailing address
6121 MANTON AVE, WOODLAND HILLS, CA 91367-1336
(818) 716-1103
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G83686
CA
Other
Enumeration date
11/12/2006
Last updated
07/08/2007
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