Susan a Mandel MD Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SUSAN A MANDEL MD INC

Practice address

150 N Robertson Blvd
Suite 222
Beverly Hills, CA 90211-2144

Phone

(310) 652-4900

Fax

(310) 652-4902

NPI assigned

Jul 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Susan Ann Mandel, MDNPI 1457385312

Title

President

Phone

(310) 652-4900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Ann Mandel, MD

  • General Practice Physician
  • Beverly Hills, CA
  • NPI 1457385312
  Medicare reassignment NPD Authorized official
• Sheila Yafai Bolour, MD

  • Internal Medicine Physician
  • Beverly Hills, CA
  • NPI 1073662748
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1801829353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N ROBERTSON BLVD",
            "address_2": "SUITE 222",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112144",
            "telephone_number": "310-652-4900",
            "fax_number": "310-652-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N ROBERTSON BLVD",
            "address_2": "SUITE 222",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112144",
            "telephone_number": "310-652-4900",
            "fax_number": "310-652-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN A MANDEL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-652-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.