| Susan A Mandel Md Inc | |
|
150 N Robertson Blvd Suite 222 Beverly Hills CA 90211-2144 | |
| (310) 652-4900 | |
| (310) 652-4902 |
| Full Name | Susan A Mandel Md Inc |
|---|---|
| Speciality | General Practice |
| Location | 150 N Robertson Blvd, Beverly Hills, California |
| Authorized Official Name and Position | Susan Ann Mandel (PRESIDENT) |
| Authorized Official Contact | 3106524900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan A Mandel Md Inc 150 N Robertson Blvd Suite 222 Beverly Hills CA 90211-2144 Ph: (310) 652-4900 | Susan A Mandel Md Inc 150 N Robertson Blvd Suite 222 Beverly Hills CA 90211-2144 Ph: (310) 652-4900 |
| NPI Number | 1801829353 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 09/10/2007 |
| Medicare PECOS PAC ID | 2769403880 |
|---|---|
| Medicare Enrollment ID | O20051215000832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801829353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Susan Mandel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457385312 PECOS PAC ID: 9133172596 Enrollment ID: I20051216000232 |
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