Organization
MENDOZA MEDICAL CLINIC
Active
Other names
Roberto C Mendoza,M.D.APMC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO CLEMENTE MENDOZA M.D (OWNER)
(504) 443-1744
Entity
Organization
Contact information
Practice address
3100 WILLIAMS BLVD, KENNER, LA 70065
(504) 443-1744
Mailing address
3100 WILLIAMS BLVD, KENNER, LA 70065-4505
(504) 443-1744
(504) 443-1752
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1191272
—
LA
05
—
2118099
—
LA
Enumeration date
04/20/2010
Last updated
09/22/2011
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