Individual
KEVIN ROBERTO MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-7928
Mailing address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
43028
CA
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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