# MANUEL F MENDOZA MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154865707
- **Authorized official:** MR. ASIF SHAIKH (ADMIN)
- **Authorized official phone:** (562) 925-7716

## Contact information

- **Practice address:** 11735 FIRESTONE BLVD, NORWALK, CA 90650-2808
- **Practice address phone:** (562) 925-7716
- **Practice address fax:** (562) 867-0665
- **Mailing address:** 11735 FIRESTONE BLVD, NORWALK, CA 90650-2808
- **Mailing address phone:** (562) 925-7716
- **Mailing address fax:** (562) 867-0665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | A53896 | CA | Yes |

## Other

- **Enumeration date:** 12/15/2016
- **Last updated:** 07/27/2021