Individual
DR. ELLEN C. MANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4635 WAVERLY RD, OCEANSIDE, CA 92056-4914
(760) 941-3126
Mailing address
4635 WAVERLY RD, OCEANSIDE, CA 92056-4914
(760) 941-3126
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G50219
CA
2083P0901X
Public Health & General Preventive Medicine Physician
G50219
CA
208D00000X
General Practice Physician
G50219
CA
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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