Individual
DR. ANTONIO HOMERO MENDOZA LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4150 V ST STE 3500, SACRAMENTO, CA 95817-1460
(916) 734-7224
Mailing address
4150 V ST STE 3500, SACRAMENTO, CA 95817-1460
(916) 734-7224
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
C182354
CA
207RG0100X
Gastroenterology Physician
MD2020-1183
NM
207RG0100X
Gastroenterology Physician
MD453753
PA
207RG0100X
Gastroenterology Physician
P5107
TX
Other
Enumeration date
03/16/2009
Last updated
03/23/2023
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