| Organization Name: | AMADO D. MANDANI M.D.,INC. |
| NPI Number: | 1053587832 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMADO DAVID MANDANI (PRESIDENT) |
| Mailing Address: | 14338 Ramona Blvd Baldwin Park |
| State: | CA US |
| Postal Code: | 917063241 |
| Phone Number: | 6269627886 |
| Fax Number: | 6269624636 |
| NPI Enumeration Date: | 05/01/2008 |
| NPI Last Update Date: | 05/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | A32026 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |