MEDICARE: DR. HOWARD MENDELSON M.D.

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	208000000X	Pediatrics Physician	G031023	CA

General Provider Information

NPI Number	:	1922459379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD MENDELSON M.D.

Provider Business Mailing Address
First Line	:	25410 PRADO DE LAS BELLOTAS
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-3658
Country	:	US
Telephone Number	:	818-222-9415
Fax Number	:

Provider Business Practice Location Address
First Line	:	25410 PRADO DE LAS BELLOTAS
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-3658
Country	:	US
Telephone Number	:	818-222-9415
Fax Number	:

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

Provider Enumeration Date	:	06/28/2016
Last Update Date	:	06/28/2016

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