Bose Mandava, MD

NPI 1477609568 · on the registry since 2007 · sole proprietor

Practice

Address: 825 North 10th Street
Santa Paula, CA 93060
Phone: (805) 933-8600
Fax: (805) 933-8664
Organisation at this address: Lawrence W. Chespak, M.D., A Prof Corp
Santa Paula Emergency Medical Group, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 207L00000X
207L00000X
Also registered as: 207L00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-08-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California