Organization
MISSION UROLOGY, INC.
Active
Other names
Mission Urology
Organization subpart
No
Provider details
NPI number
Authorized official
JO-ANN MENDOZA MD (PRESIDENT)
(951) 276-4505
Entity
Organization
Contact information
Practice address
4500 BROCKTON AVE, SUITE 301, RIVERSIDE, CA 92501-4027
(951) 276-4505
(951) 276-4517
Mailing address
PO BOX 7270, MORENO VALLEY, CA 92552-7270
(951) 656-1500
(951) 656-1510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
03/24/2016
Last updated
06/24/2019
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