Individual
MR. FERNANDO C MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA, NP
Contact information
Practice address
1704 STATE ST, SANTA BARBARA, CA 93101-2522
(805) 682-9942
(805) 563-9493
Mailing address
1704 STATE ST, SANTA BARBARA, CA 93101-2522
(805) 682-9942
(805) 563-9493
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA19277
CA
363L00000X
Nurse Practitioner
Primary
17178
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245358449
NPI
CA
Enumeration date
03/26/2007
Last updated
09/06/2016
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