Individual
ISAAC MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1157 W KINGSIDE DR, COVINA, CA 91722-3118
(626) 353-3975
Mailing address
1157 W KINGSIDE DR, COVINA, CA 91722-3118
(626) 353-3975
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
735224
CA
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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