MICHELLE RENEE GUTIERREZ-MENDOZA, M.D., INC., A PROF MED CORP; NPI #1467695189

Contact Information

MICHELLE RENEE GUTIERREZ-MENDOZA, M.D., INC., A PROF MED CORP

4020 FIFTH AVENUE
MER 14
SAN DIEGO, CA 92103-2180

Phone: 619-686-3577
Fax: 619-260-7310
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Women	282NW0100X

Indicates primary specialty

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NPI Profile & details for MICHELLE RENEE GUTIERREZ-MENDOZA, M.D., INC., A PROF MED CORP

NPI Number 1467695189

LBN Legal business name MICHELLE RENEE GUTIERREZ-MENDOZA, M.D., INC., A PROF MED CORP

Authorized official MICHELLE GUTIERREZ-MENDOZA - (PHYSICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/10/2009

Last updated 08/27/2009 - About 17 years ago

Identifiers

License #

A90028

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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