Individual
MS. AMADA BAUTISTA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
11735 FIRESTONE BLVD, NORWALK, CA 90650-2808
(562) 925-7716
(562) 867-0665
Mailing address
11735 FIRESTONE BLVD, NORWALK, CA 90650-2808
(562) 925-7716
(562) 867-0665
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
329964
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
329964
RN LICENSE
CA
01
—
8037
NPF LICENSE
CA
Enumeration date
02/13/2007
Last updated
06/17/2025
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