Individual
MISS AMELIA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6555 COYLE AVE, CARMICHAEL, CA 95608-0302
(916) 536-2540
(916) 536-2455
Mailing address
3400 DATA DR, PHYSICIAN SUPPORT SERVICES, RANCHO CORDOVA, CA 95670-7956
(916) 379-2948
(916) 858-7065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BP100375979
TX
225100000X
Physical Therapist
18717
NY
Other
Enumeration date
03/02/2010
Last updated
12/17/2021
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