Individual
LINDA EVELYN MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
810 W COLLINS AVE, ORANGE, CA 92867-5516
(714) 532-7571
Mailing address
810 W COLLINS AVE, ORANGE, CA 92867-5516
(714) 532-7571
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
NP20908
CA
363L00000X
Nurse Practitioner
Primary
NP20908
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP20908
CA. BOARD OF NURSING
CA
Enumeration date
10/18/2011
Last updated
02/19/2013
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