Organization
MENDEZ MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIEGO MENDEZ MD (PHYSICIAN)
(858) 268-0300
Entity
Organization
Contact information
Practice address
4282 GENESEE AVE, SUITE 201, SAN DIEGO, CA 92117
(661) 330-8753
(858) 246-6374
Mailing address
4282 GENESEE AVE, SUITE 201, SAN DIEGO, CA 92117-4946
(858) 268-0300
(877) 409-7359
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A47906
CA
208000000X
Pediatrics Physician
A47906
CA
208D00000X
General Practice Physician
A47906
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A479060
—
CA
05
—
00A479061
—
CA
01
—
1437181922
INDIVIDUAL NPI
—
Enumeration date
04/01/2008
Last updated
04/20/2021
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