Mandaro, Stephen Lodovico

Mandaro, Stephen Lodovico is an sole proprietor health care provider with primary practice located at 8139 Sunset Ave Suite 242, Fair Oaks CA 95628-5131. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Mandaro, Stephen Lodovico can be contacted via phone (916) 209-8505.

Contact Information

Primary practice address
8139 Sunset Ave Suite 242 Fair Oaks CA 95628-5131
Phone: (916) 209-8505
Fax: (916) 967-1987
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X G50320 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X G50320 California

Profile Details

NPI number 1225369051
LBN Legal business name Mandaro, Stephen Lodovico
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2010
Last updated Jan 18th, 2010 - about 15 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 1225369051 NPPES
California MEDICAID 7664031

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