Provider Demographics
NPI:1568440618
Name:MA, JADA MANDY (MD)
Entity Type:Individual
Prefix:DR
First Name:JADA
Middle Name:MANDY
Last Name:MA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:75 REMITTANCE DR DEPT 6008
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60675-6008
Mailing Address - Country:US
Mailing Address - Phone:562-282-1419
Mailing Address - Fax:562-920-4642
Practice Address - Street 1:16510 BLOOMFIELD AVE.
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-9346
Practice Address - Country:US
Practice Address - Phone:562-229-0902
Practice Address - Fax:562-229-0952
Is Sole Proprietor?:No
Enumeration Date:2006-01-07
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
CAA048609207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine