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Organization
MANUEL F. MENDOZA, M.D., INC
Active
Organization
MANUEL F. MENDOZA, M.D., INC
Active
Other names
Mendoza Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MANUEL F. MENDOZA MD (CEO)
(562) 925-7716
Entity
Organization
Contact information
Practice address
11735 FIRESTONE BLVD, NORWALK, CA 90650
(562) 925-7716
(562) 867-0665
Mailing address
11735 FIRESTONE BLVD, NORWALK, CA 90650
(562) 925-7716
(562) 867-0665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W21839
MEDICARE ID
CA
Enumeration date
05/15/2007
Last updated
02/28/2023
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