Individual provider · Type 1 NPI

Katherine Ann Mandeville, MD

Pediatric Emergency Medicine (Pediatrics) Physician · San Diego, CA

NPI number 1649355397 Active

Practice location

3020 Childrens Way
San Diego, CA 92123-4223

Call (858) 966-8036 Map

Fax (858) 966-7433

Mailing address

3020 Childrens Way # MC5003
San Diego, CA 92123-4223

Specialties and licenses

TaxonomyCodeLicense
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204XC149595 (CA)
Pediatrics Physician 208000000XC149595 (CA)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1649355397

Katherine Ann Mandeville, MD's National Provider Identifier is 1649355397, issued on Oct 25, 2006. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in San Diego, CA. The record was last updated on Jul 21, 2022.