JEREMY JOEL MANDIA

LOS ANGELES, CA
NPI1710326418
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: NY  279197)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-06-17
Last Update Date2018-12-13
Business Address
Dr. JEREMY JOEL MANDIA M.D.
841 S CLOVERDALE AVE
LOS ANGELES, CA 90036-4818
Phone number: 310-921-5670
Mailing Address
Dr. JEREMY JOEL MANDIA M.D.
8312 N BROOK LN
BETHESDA, MD 20814-2613
Phone number: 845-702-7358