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Organization
LEE D. MENDIOLA MD PC
Active
Organization
LEE D. MENDIOLA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE D MENDIOLA MD (PRESIDENT)
(805) 650-3880
Entity
Organization
Contact information
Practice address
1752 S VICTORIA AVE, SUITE 250, VENTURA, CA 93003-6192
(805) 650-3880
(805) 650-3887
Mailing address
PO BOX 6519, VENTURA, CA 93006-6519
(805) 650-3880
(805) 650-3887
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A70860
CA
Other
Enumeration date
10/01/2006
Last updated
05/12/2011
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