Individual
DEISY A MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5059 YORK BLVD, LOS ANGELES, CA 90042-1713
(323) 344-4144
(323) 344-4146
Mailing address
5059 YORK BLVD, LOS ANGELES, CA 90042-1713
(323) 344-4144
(323) 344-4146
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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