| Amado D. Mandani M.d.,inc. | |
|
14338 Ramona Blvd Baldwin Park CA 91706-3241 | |
| (626) 962-7886 | |
| (626) 962-4636 |
| Full Name | Amado D. Mandani M.d.,inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 14338 Ramona Blvd, Baldwin Park, California |
| Authorized Official Name and Position | Amado David Mandani (PRESIDENT) |
| Authorized Official Contact | 6269627886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amado D. Mandani M.d.,inc. 14338 Ramona Blvd Baldwin Park CA 91706-3241 Ph: (626) 962-7886 | Amado D. Mandani M.d.,inc. 14338 Ramona Blvd Baldwin Park CA 91706-3241 Ph: (626) 962-7886 |
| NPI Number | 1053587832 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 05/01/2008 |
| Medicare PECOS PAC ID | 2466709480 |
|---|---|
| Medicare Enrollment ID | O20180723002318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053587832 | NPI | - | NPPES |
| 00A320260 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | A32026 (California) | Primary |
| Provider Name | Amado D Mandani |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093894552 PECOS PAC ID: 9234115205 Enrollment ID: I20040629000908 |
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