Individual
SUSANA MARIBEL MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4700 W SUNSET BLVD, 2ND FLOOR, NEPHROLOGY DEPARTMENT, LOS ANGELES, CA 90027-6082
(323) 783-5987
Mailing address
8920 MURIETTA AVE, PANORAMA CITY, CA 91402-2628
(310) 903-1364
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A87787
CA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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