Mandrick, Fred
Mandrick, Fred is an sole proprietor health care provider with primary practice located at 705 S. Barrington Ave. , Los Angeles CA 90049. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Mandrick, Fred can be contacted via phone (310) 476-3556.Contact Information
Primary practice address
705 S. Barrington Ave.
Los Angeles CA 90049
Phone: (310) 476-3556
Fax: (310) 476-2323
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C23563 | California |
Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | C23563 | California |
Profile Details
NPI number | 1164822607 |
---|---|
LBN Legal business name | Mandrick, Fred |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 3rd, 2014 |
Last updated | Sep 3rd, 2014 - about 10 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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