Individual
ADYS MENDIZABAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 UCLA MEDICAL PLZ STE B200, LOS ANGELES, CA 90095-6130
(310) 794-1195
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT211763
PA
2084N0400X
Neurology Physician
211763
PA
2084N0400X
Neurology Physician
Primary
A167052
CA
Other
Enumeration date
03/28/2016
Last updated
08/10/2020
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