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Medhat N. Mansour, M.d. Inc.
Specialist in Los Angeles, California
NPI 1992832810

Medhat N. Mansour, M.d. Inc. is a Specialist based in Los Angeles, CA. Medhat N. Mansour, M.d. Inc. practices in Los Angeles, CA. The NPI Number for Medhat N. Mansour, M.d. Inc. is 1992832810 and holds a License No. A24055 (California).

The current practice location address for Medhat N. Mansour, M.d. Inc. is 2105 Beverly Blvd, Los Angeles, CA and can be reached out via phone at 213-483-1007 and via fax at 213-483-3207.

Location: 2105 Beverly Blvd, Los Angeles, CA, 90057-2216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992832810
Provider Name
Medhat N. Mansour, M.d. Inc.
Credential
Provider Entity Type
Organization
Address
2105 Beverly Blvd, Los Angeles, CA, 90057-2216
Phone Number
213-483-1007
Fax Number
213-483-3207
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A24055 01 CA MEDICAL LICENSE NUMBER
00A240550 05 CA
05D0943499 01 CA CLIA NUMBER
institution
Provider Business Practice Location Address Details
Address
2105 Beverly Blvd
City
Los Angeles
State
California
Zip
90057-2216
Phone Number
213-483-1007
Fax Number
213-483-3207
person
Provider Business Mailing Address Details
Address
2105 Beverly Blvd
City
Los Angeles
State
California
Zip
90057-2216
Phone Number
213-483-1007
Fax Number
213-483-3207
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A24055 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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