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Individual

MATTHEW MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8700 BEVERLY BLVD # 6723, WEST HOLLYWOOD, CA 90048-1804
(310) 423-1838
Mailing address
8700 BEVERLY BLVD # 6723, WEST HOLLYWOOD, CA 90048-1804

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A203160
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/31/2021
Last updated
06/19/2025
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