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AMADO D. MANDANI M.D.INC. NPI 1053587832


NPI Information

NPI: 1053587832
Provider Name: AMADO D. MANDANI M.D.,INC.
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
14338 RAMONA BLVD
BALDWIN PARK, CA
ZIP 91706
Phone: (626) 962-7886
Get Directions

AMADO D. MANDANI M.D.,INC. is an adult medicine family medicine in Baldwin Park, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. AMADO D. MANDANI M.D.,INC. NPI is 1053587832. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14338 RAMONA BLVD
BALDWIN PARK, CA
ZIP 91706-241
Phone: (626) 962-7886
Fax: (626) 962-4636

The provider's authorized official is Amado David Mandani .
The authorized official title is President and has the following contact phone number (626) 962-7886.

The enumeration date for this NPI number is 5/1/2008 and was last updated on 5/1/2008.


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
1207QA0505XFamily MedicineAdult MedicineA32026CALIFORNIAYes

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
100A320260MEDICAIDCALIFORNIA
2A26674MEDICARE UPINCALIFORNIA
3A32026MEDICARE PINCALIFORNIA

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: 4/28/2024

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