Individual
JUAN ANTONIO MENDIVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2480 MISSION ST, SUITE 216, SAN FRANCISCO, CA 94110
(415) 641-1111
(415) 641-1231
Mailing address
2480 MISSION ST, SUITE 216, SAN FRANCISCO, CA 94110
(415) 641-1111
(415) 641-1231
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A031376
CA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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