Katherine Ann Mandeville in San Diego - Pediatric Emergency Medicine
Katherine Ann Mandeville - NPI 1649355397
Katherine Ann Mandeville is a Pediatric Emergency Medicine in San Diego, California. Katherine Ann Mandeville practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Katherine Ann Mandeville is 1649355397. The last update date is 2022-07-21.
Katherine Ann Mandeville's current location address is 3020 Childrens Way, San Diego, California. You can contact this provider via phone number 8589668036 and fax number 8589667433. The mailing address for Katherine Ann Mandeville is 3020 Childrens Way, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine Ann Mandeville |
|---|---|
| Address | 3020 Childrens Way, San Diego, California |
| Phone Number | 8589668036 |
| Fax Number | 8589667433 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1649355397 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 3020 Childrens Way |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921234223 |
| Phone Number | 8589668036 |
| Fax Number | 8589667433 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Emergency Medicine |
|---|---|
| Taxonomy | 2080P0204X |
| Licence No | C149595 |
|
Definition: A pediatrician who has special qualifications to manage emergencies in infants and children. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22807349 | CO | -- |
Post Comment/ Review Below
What is the Katherine Ann Mandeville's unique identification number?
The Katherine Ann Mandeville has been assigned the NPI (National Provider Identifier) Number 1649355397 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Katherine Ann Mandeville is physically located?
The Katherine Ann Mandeville is physically situated at the following address: 3020 Childrens Way, San Diego, CA, 921234223.
What is Katherine Ann Mandeville's area of expertise and its corresponding taxonomy classification?
The Katherine Ann Mandeville's field of specialization is Pediatric Emergency Medicine, and it falls under the taxonomy code 2080P0204X, which categorizes healthcare providers based on their areas of practice.
When did Katherine Ann Mandeville receive its 1649355397 assignment?
The Katherine Ann Mandeville was assigned its 1649355397 on 2006-10-25, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Katherine Ann Mandeville last refreshed?
The information related to the Katherine Ann Mandeville, including its address, specialty, and other relevant details, was last updated on 2022-07-21.
NPI Number: 1306831318
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