MEDICARE: HOWARD CLAYTON MANDEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	G48481	CA

General Provider Information

NPI Number	:	1245237437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD CLAYTON MANDEL MD

Provider Business Mailing Address
First Line	:	10309 SANTA MONICA BLVD
Second Line	:	# 300
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-5007
Country	:	US
Telephone Number	:	310-556-1427
Fax Number	:	310-282-8567

Provider Business Practice Location Address
First Line	:	10309 SANTA MONICA BLVD
Second Line	:	# 300
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-5007
Country	:	US
Telephone Number	:	310-556-1427
Fax Number	:	310-282-8567

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	01/12/2012

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Directions to “ HOWARD CLAYTON MANDEL MD” Practice Location

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