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Individual
DR. MARCELO MENDOZA
Active
Individual
DR. MARCELO MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
56081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004015169
PHYSICIANS LICENSE
MO
Enumeration date
04/20/2006
Last updated
06/19/2023
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