Organization · NPI-2

Amado D. Mandani M.D.,inc.

Family Medicine, Adult Medicine · Baldwin Park, CA

NPI number1053587832
StatusActive
Last updated in NPPESMay 1, 2008

Details

NPI
1053587832
Entity type
Organization (NPI-2)
Legal business name
Amado D. Mandani M.D.,inc.
Organization subpart
No
Enumeration date
May 1, 2008
Last updated
May 1, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0505X Family Medicine, Adult MedicineA32026CAYes

Practice location

14338 Ramona Blvd
Baldwin Park, CA 91706-3241

Phone 626-962-7886 · Fax 626-962-4636

Mailing address

14338 Ramona Blvd
Baldwin Park, CA 91706-3241

Phone 626-962-7886 · Fax 626-962-4636

Authorized official

Amado David Mandani
President
6269627886

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