IndividualActive
Katherine Mandeville, MD
NPI 1649355397 · Pediatric Emergency Medicine (Pediatrics) Physician · San Diego, CA
Provider details
- NPI number
- 1649355397
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- C149595 (CA)
Practice location
3020 Childrens Way
San Diego, CA 92123-4223
Phone: (858) 966-8036
Fax: (858) 966-7433
Mailing address
3020 Childrens Way # Mc5003
San Diego, CA 92123-4223
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.