Organization
MANUEL F MENDOZA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASIF SHAIKH (ADMIN)
(562) 925-7716
Entity
Organization
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
302R00000X
Health Maintenance Organization
Primary
A53896
CA
Other
Enumeration date
12/15/2016
Last updated
07/27/2021
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