Mandegar, Mehran

Mandegar, Mehran is an sole proprietor health care provider with primary practice located at 5555 Grossmont Center Dr , La Mesa CA 91942-3019. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Mandegar, Mehran can be contacted via phone (888) 664-8297.

Contact Information

Primary practice address
5555 Grossmont Center Dr La Mesa CA 91942-3019
Phone: (888) 664-8297
Fax: (801) 650-6861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X A63770 California
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A63770 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A63770 California

Profile Details

NPI number 1174689335
LBN Legal business name Mandegar, Mehran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
Last updated Aug 9th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174689335 NPPES
California MEDICAID 1911036

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