KELLY MANDAVIA, MD

MD

Physician Assistant

NPI: 1073722260IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA14661(CA)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 1997

Contact & Hours

Address: 4650 W SUNSET BLVD, MS# 54
LOS ANGELES, CA 90027
Phone: (323) 669-5653

Quick Facts

NPI: 1073722260
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 29

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