Mandelberg, Alan Irving

Mandelberg, Alan Irving is an individual health care provider with primary practice located at 4418 Vineland Ave #106, North Hollywood CA 91602-3457. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mandelberg, Alan Irving can be contacted via phone (818) 762-0647.

Contact Information

Primary practice address
4418 Vineland Ave #106 North Hollywood CA 91602-3457
Phone: (818) 762-0647
Fax: (818) 762-7834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G39019 California

Profile Details

NPI number 1659422582
LBN Legal business name Mandelberg, Alan Irving
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Apr 22nd, 2008 - about 17 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 1659422582 NPPES
California MEDICAID 00G390190

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