Mantell, Richard B

Mantell, Richard B is an individual health care provider with primary practice located at 618 22Nd St , Huntington Beach CA 92648-3311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mantell, Richard B can be contacted via phone (714) 235-4502.

Contact Information

Primary practice address
618 22Nd St Huntington Beach CA 92648-3311
Phone: (714) 235-4502
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A39992 California

Profile Details

NPI number 1851454987
LBN Legal business name Mantell, Richard B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Sep 7th, 2012 - about 12 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 1851454987 NPPES
Other A39992 BLUE CROSS
Other 00A399920 BLUE CROSS
MEDICAID 00A399920 BLUE CROSS

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