Individual provider · Type 1 NPI
Neil Brian Mansdorf, D.P.M.
Sports Medicine Podiatrist · Orange, CA
NPI number
1295766475
Active
Practice location
555 N Tustin St
Orange, CA 92867-7611
Fax (714) 633-0045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | E4222 (CA) |
| Sports Medicine Podiatrist Primary | 213ES0000X | E4222 (CA) |
Sports Medicine Podiatrist: Definition to come...
About NPI 1295766475
Neil Brian Mansdorf, D.P.M.'s National Provider Identifier is 1295766475, issued on Jul 5, 2006. The primary taxonomy on file is Sports Medicine Podiatrist (213ES0000X), and the practice location is in Orange, CA. The record was last updated on Jul 23, 2024.