Individual
JORGE ALBERTO MENDOZA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13280 EVENING CREEK DR S STE 110, SAN DIEGO, CA 92128-4109
(858) 546-3800
Mailing address
17371 LIDO LN, HUNTINGTON BEACH, CA 92647-6141
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A121774
CA
Other
Enumeration date
07/24/2008
Last updated
08/10/2016
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