Healthcare Provider Details

I. General information

NPI: 1235830159
Provider Name (Legal Business Name): YOSEPH MANDEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2023
Last Update Date: 03/16/2023
Certification Date: 03/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8511 BEVERLY PL
LOS ANGELES CA
90048-1937
US

IV. Provider business mailing address

1125 S BEDFORD ST
LOS ANGELES CA
90035-2259
US

V. Phone/Fax

Practice location:
  • Phone: 310-659-2456
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: