Individual
MR. ERNESTO DANIEL MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11572 SANTA CRUZ ST, STANTON, CA 90680-3542
(714) 718-3422
Mailing address
11572 SANTA CRUZ ST, STANTON, CA 90680-3542
(714) 718-3422
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D6017950
CA
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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