Individual
CECILIA AMY MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(323) 568-4545
Mailing address
11118 POUNDS AVE, WHITTIER, CA 90603-3231
(562) 688-9649
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15850
CA
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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