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Individual

CARLOS F MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SLD

Contact information

Practice address
22323 SHERMAN WAY STE 14, CANOGA PARK, CA 91303-4310
(818) 886-5447
(818) 232-7041
Mailing address
22323 SHERMAN WAY STE 14, CANOGA PARK, CA 91303-4310
(818) 886-5447
(818) 232-7041

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
41037
CA

Other

Enumeration date
07/19/2019
Last updated
07/19/2019
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