Individual
CARLOS EDUARDO MENDOZA BOMBELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNM, WHNP, MSN
Contact information
Practice address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
Mailing address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
779079
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
95003260
CA
367A00000X
Advanced Practice Midwife
235758
CA
Other
Enumeration date
11/03/2015
Last updated
11/10/2015
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