Mamie M Mandela (NPI# 1831661370, PAC ID# 8022441930) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1831661370 |
| PAC ID by PECOS | 8022441930 |
| Professional Enrollment ID | I20191206002518 |
| Full Name | Mamie M Mandela |
| Organization Legal Name | RAJ PRASAD MD, INC. |
| Address |
8711 Venice Blvd Los Angeles CA 90034-3216 |
| Phone Number | 3102370023 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7810067378 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050104 | SAINT FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8711 Venice Blvd, Los Angeles, CA 90034-3216 | 3102370023 | RAJ PRASAD MD, INC. |
| Organization Legal Name | RAJ PRASAD MD, INC. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arlin Marie Llido | Nurse Practitioner | Raj Prasad Md, Inc. | 8711 Venice Blvd, Los Angeles, CA 90034-3216 |
| Josh Kwan | Nurse Practitioner | Raj Prasad Md, Inc. | 9808 Venice Blvd, Suite 707, Culver City, CA 90232-6802 |
| Rajendra Prasad | Internal Medicine | Raj Prasad Md, Inc. | 9808 Venice Blvd, Suite 707, Culver City, CA 90232-6802 |
| Nicole Comfort | Nurse Practitioner | Raj Prasad Md, Inc. | 8711 Venice Blvd, Los Angeles, CA 90034-3216 |
| Rajender S Dabas | Physician Assistant | Raj Prasad Md, Inc. | 9808 Venice Blvd, Suite 707, Culver City, CA 90232-6802 |
| Street Address |
8711 VENICE BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip | 90034-3216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arlin Marie Llido | Nurse Practitioner | Raj Prasad Md, Inc. | 8711 Venice Blvd, Los Angeles, CA 90034-3216 |
| Nicole Comfort | Nurse Practitioner | Raj Prasad Md, Inc. | 8711 Venice Blvd, Los Angeles, CA 90034-3216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel Bienenfeld | Chiropractic | 2417 Castle Heights Ave, Los Angeles, CA 90034-1051 | |
| Gloria E Crane | Clinical Social Worker | 1912 Livonia Ave, Los Angeles, CA 90034-1127 | |
| Benjamin M Kalkin | Qualified Speech Language Pathologist | Southern California Permanente Medical Group | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 |
| Linda X Fong | Internal Medicine | Southern California Permanente Medical Group | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 |
| Deborah Ann Chon | Endocrinology | Southern California Permanente Medical Group | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 |
| Allan Chen | Internal Medicine | Southern California Permanente Medical Group | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 |
| Josephine J Chiu | Internal Medicine | Southern California Permanente Medical Group | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 |
| Maria Kareena Perez Espejo | Family Medicine | Southern California Permanente Medical Group | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 |
| Lloyd M Lee | Psychiatry | Southern California Permanente Medical Group | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 |
| Veronica J Grijalva | Obstetrics/gynecology | Southern California Permanente Medical Group | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 |
| Find all physicians in zip 90034 | |||
| City | LOS ANGELES |
| Zip Code | 90034 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LOS ANGELES + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mamie M Mandela.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.