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Organization
MENDOZA FAMILY PRACTICE MEDICAL CORPORATION
Active
Organization
MENDOZA FAMILY PRACTICE MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA LUISA MENDOZA M.D. (PHYSICIAN)
(661) 720-9111
Entity
Organization
Contact information
Practice address
1303 JEFFERSON ST, DELANO, CA 93215-2205
(661) 720-9111
(661) 725-4689
Mailing address
1303 JEFFERSON ST, DELANO, CA 93215-2205
(661) 720-9111
(661) 725-4689
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A88698
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073700134
—
CA
Enumeration date
10/02/2007
Last updated
02/27/2012
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