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Individual

LOUIS MENDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CST

Contact information

Practice address
12265 VENTURA BLVD, SUITE 107, STUDIO CITY, CA 91604-2528
(310) 691-5411
Mailing address
12265 VENTURA BLVD, SUITE 107, STUDIO CITY, CA 91604-2528
(310) 691-5411

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
114160
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
114160
THE NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING
CA
Enumeration date
05/24/2012
Last updated
05/24/2012
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