Neil Brian Mansdorf
Sports Medicine Foot Surgery
555 N Tustin St
Orange
, California 92867-7611
Neil Brian Mansdorf
Sports Medicine Foot Surgery
555 N Tustin St
Orange
, California 92867-7611
(714) 633-0045
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About
Features
Specialties
- Sports Medicine
- Foot Surgery
Languages spoken
- English
Location
First Address
- Neil Brian Mansdorf
- 555 N Tustin St
- Orange, CA
- Zip : 92867-7611
- Fax : (714) 633-0045
- Phone : (714) 633-0040
Second Address
- Neil Brian Mansdorf
- 555 N Tustin St
- Orange, CA
- Zip : 92867-7611
- Fax : (714) 633-0045
- Phone : (714) 633-0040
Reviews
FAQs
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Is Neil Brian Mansdorf a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | E4222 | CA |
| Y | 213ES0000X | Sports Medicine | E4222 | CA |
| N | 213ES0131X | Foot Surgery | E4222 | CA |
National Provider Identifier
| NPI | 1295766475 |
|---|---|
| Provider Name | Neil Brian Mansdorf |
| First Address | Orange, CA 92867-7611 |
| Second Address | Orange, CA 92867-7611 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2006 |
| Last Update Date | 23/11/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U78898 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.