Mandel, Jess

Mandel, Jess is an individual health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103-9000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Mandel, Jess can be contacted via phone (800) 926-8273.

Contact Information

Primary practice address
200 W Arbor Dr San Diego CA 92103-9000
Phone: (800) 926-8273
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X C52434 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X C52434 California

Profile Details

NPI number 1023006970
LBN Legal business name Mandel, Jess
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Dec 11th, 2019 - about 5 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 1023006970 NPPES
Iowa MEDICAID 0246777
Iowa Other 42717

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