NEIL BRIAN MANSDORF


Address: 555 N Tustin St, Orange, CA 92867-7611
Phone: 7146330040

NEIL BRIAN MANSDORF (NPI# 1295766475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295766475
Entity Type Individual
Full Name NEIL BRIAN MANSDORF
Credential D.P.M.
Practice Address 555 N Tustin St
Orange
CA 92867-7611
Practice Telephone 7146330040
Practice Fax Number 7146330045
Mailing Telephone 7146330040
Mailing Fax Number 7146330045
Enumeration Date 2006-07-05
Last Update Date 2009-11-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0000X Podiatrist
Specialization: Sports Medicine
E4222 CA Podiatric Medicine & Surgery Service Providers
N 213ES0131X Podiatrist
Specialization: Foot Surgery
E4222 CA Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 555 N TUSTIN ST
City ORANGE
State CA
Zip Code 92867-7611

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1629536701 Cindy Diaz Behavioral Analyst 410 E. Katella, Orange, CA 92867 2019-03-07
1992206940 Oc Healthy Heart LLC Internal Medicine 438 E Katella Ave Suite B, Orange, CA 92867 2018-02-26
1083139059 Randy Hope Counselor 1855 W Katella Ave #150, Orange, CA 92867 2017-08-10
1801319595 Danielle Collett Registered Nurse 1855 N. Katella, 150, Orange, CA 92867 2017-07-25
1023538931 Mala Leao Social Worker 2440 E. Vanowen Ave., Orange, CA 92867 2017-06-21
1184096257 Renew Acupuncture Clinic Health Maintenance Organization 1132 E Katella Avenue Ste. A14, Orange, CA 92867 2015-10-28
1942604913 Seon Song Acupuncturist 1327 E Katella Ave, Orange, CA 92867 2014-10-20
1700298965 Nazanin Minouei Physical Therapy Assistant 1045 N. Tustin Ave, Orange, CA 92867 2014-05-22
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Taxonomy Information

Taxonomy Code 213ES0000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Sports Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992164628 Marin Foot and Ankle Podiatrist 7 N Knoll Rd Ste 3, Mill Valley, CA 94941-1665 2016-02-23
1528363249 Tres Peros Inc Podiatrist 222 Front St Fl 6, San Francisco, CA 94111-4422 2011-01-12
1518003243 Dale Sovak Podiatrist 4576 E 2nd St, H, Benicia, CA 94510-1046 2007-01-29
1033271705 Arnold Serkin Podiatrist 3400 Lomita Blvd Ste 403, Torrance, CA 90505-4930 2006-12-15
1104998434 Alona Kashanian Podiatrist 3984 South Figueroa Street, Los Angeles, CA 90037 2006-11-14
1790866887 Remy Ardizzone Podiatrist 900 Hyde Street, Suite 1100, Center for Sports Medicine, San Francisco, CA 94109 2006-10-17
1164515623 Irwin D Cohen Podiatrist 585 Kelly St, Half Moon Bay, CA 94019 2006-10-02
1477664662 David Ray Hannaford Podiatrist 750 Las Gallinas Ave Ste 102, San Rafael, CA 94903-3431 2006-08-31
1003920851 Colleen Schwartz Podiatrist 273 Spring St, Pleasanton, CA 94566-6625 2006-08-18
1770525065 Ashkan Soleymani Podiatrist 18370 Burbank Blvd Ste 714, Tarzana, CA 91356-2827 2006-06-12
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Competitor

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City ORANGE
Zip Code 92867

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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