Provider Information for 1598900367
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Dr. JOHN BOWERS MANSDORFER Ph.D.
Sex: Male
NPI: 1598900367
Last Updated: 2008-12-09
Certification Date:
Certification Date:
Details
Name | Value | ||||||||
---|---|---|---|---|---|---|---|---|---|
NPI | 1598900367 | ||||||||
Enumeration Date | 2008-12-09 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 785 GRAND AVE SUITE 219 CARLSBAD, CA 92008-2370 United States Phone: 760-729-6009 | Fax:760-729-6009 | ||||||||
Primary Practice Address | 785 GRAND AVE SUITE 219 CARLSBAD, CA 92008-2370 United States Phone: 760-729-6009 | Fax:760-729-6009 | ||||||||
Secondary Practice Address(es) | |||||||||
Health Information Exchange |
| ||||||||
Other Identifiers |
| ||||||||
Taxonomy |
|