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Contact Information

MANUEL F MENDOZA, MD
11735 FIRESTONE BLVD
NORWALK, CA90650
 Phone: 562-925-7716
 Fax: 562-867-0665
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MANUEL F MENDOZA · (Male)

NPI # 1295824654
Status Active
Credentials MD
Entity Individual
Enumeration date 10/12/2006
Last updated 07/10/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A53896
  • CA Medicaid 00A538962
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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