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AVNER MANZOOR MANDEL M.D. A MEDICAL CORPORATION NPI 1093859423


NPI Information

NPI: 1093859423
Provider Name: AVNER MANZOOR MANDEL M.D. A MEDICAL CORPORATION
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4477 W 118TH ST STE 302
HAWTHORNE, CA
ZIP 90250
Phone: (310) 644-5353
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AVNER MANZOOR MANDEL M.D. A MEDICAL CORPORATION is a specialist in Hawthorne, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. AVNER MANZOOR MANDEL M.D. A MEDICAL CORPORATION NPI is 1093859423. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4477 W 118TH ST STE 302
HAWTHORNE, CA
ZIP 90250-258
Phone: (310) 644-5353

The provider's authorized official is Avner Manzoor Mandel .
The authorized official title is President and has the following contact phone number (310) 644-5353.

The enumeration date for this NPI number is 2/18/2007 and was last updated on 2/19/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA37816CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A37816MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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