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Organization
ANTHONY L. MENDOZA, M.D., A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
ANTHONY L. MENDOZA, M.D., A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY L. MENDOZA M.D.. (PRESIDENT/CEO)
(562) 632-1258
Entity
Organization
Contact information
Practice address
8207 ELDEN AVE, WHITTIER, CA 90605-1012
(562) 632-1258
Mailing address
823 S ATLANTIC BLVD, SUITE 5, MONTEREY PARK, CA 91754
(626) 281-0125
(626) 281-0102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A73075
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W19922
MEDICARE GROUP ID
CA
Enumeration date
07/28/2006
Last updated
07/21/2022
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