KELLY C MANDAVIA

LOS ANGELES, CA
NPI1073722260
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA14661)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
-- KELLY C MANDAVIA MD
4650 W SUNSET BLVD MS# 54
LOS ANGELES, CA 90027-6062
Phone number: 323-669-5653
Mailing Address
-- KELLY C MANDAVIA MD
6430 W SUNSET BLVD SUITE 600
LOS ANGELES, CA 90028-7901
Phone number: 323-669-2337
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