Mandelbaum, Bert R

Mandelbaum, Bert R is an individual health care provider with primary practice located at 2020 Santa Monica Blvd Ste 400 , Santa Monica CA 90404-2139. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mandelbaum, Bert R can be contacted via phone (310) 829-2663.

Contact Information

Primary practice address
2020 Santa Monica Blvd Ste 400 Santa Monica CA 90404-2139
Phone: (310) 829-2663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G54965 California
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X G54965 California

Profile Details

NPI number 1770673840
LBN Legal business name Mandelbaum, Bert R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Feb 10th, 2016 - about 8 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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