JUAN ANTONIO MENDOZA; NPI #1154621720

Contact Information

JUAN ANTONIO MENDOZA

6190 FAIRMOUNT AVE
SUITE A
SAN DIEGO, CA 92120-3428

Phone: 619-285-5040
Fax: 619-285-5045
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Amputee	261QA0900X
Clinic/Center	261Q00000X

Indicates primary specialty

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NPI Profile & details for JUAN ANTONIO MENDOZA

NPI #	`1154621720`
LBN Legal business name	JUAN ANTONIO MENDOZA
Authorized official	JOHN PRATER - (OFFICE MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/28/2010
Last updated	03/04/2011 - About 15 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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