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Individual
MR. FERNANDO C MENDOZA
Active
Individual
MR. FERNANDO C MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA, NP
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA19277
CA
363L00000X
Nurse Practitioner
Primary
17178
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245358449
NPI
CA
Enumeration date
03/26/2007
Last updated
09/06/2016
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