Individual
IVAN A MENDOZA MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8142 SUNLAND BLVD, SUN VALLEY, CA 91352
(818) 582-8832
(818) 582-8836
Mailing address
9950 TOPANGA CANYON BLVD UNIT 35, CHATSWORTH, CA 91311-3660
(818) 523-5120
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
09/14/2020
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