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Contact Information

STEPHEN L MANDARO, MD
8139 SUNSET AVE
SUITE 242
FAIR OAKS, CA95628-5131
 Phone: 916-209-8505
 Fax: 916-967-1987
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for STEPHEN L MANDARO · (Male)

NPI Number 1225369051
Status Active
Credentials MD
Entity Individual
Enumeration date 01/18/2010
Last updated 01/18/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G50320
  • CA Medicaid 7664031
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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