Jose Mendoza, MD | |
5750 Downey Ave, Suite 204, Lakewood, CA 90712-1405 | |
(562) 531-4362 | |
(562) 531-2169 |
Full Name | Jose Mendoza |
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Gender | Male |
Speciality | Pediatrics |
Location | 5750 Downey Ave, Lakewood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588712541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | A32117 (California) | Secondary |
208000000X | Pediatrics | A32117 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Jose Mendoza, MD 5750 Downey Ave, Suite 204, Lakewood, CA 90712-1405 Ph: (562) 531-4362 | Jose Mendoza, MD 5750 Downey Ave, Suite 204, Lakewood, CA 90712-1405 Ph: (562) 531-4362 |
Kit H Lee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3300 E South St, 204, Lakewood, CA 90805 Phone: 562-602-1733 Fax: 562-602-2337 | |
Leslie Young, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4447 Candlewood St, Lakewood, CA 90712 Phone: 657-241-9935 Fax: 657-276-4736 | |
Dr. Bothyna Fayed Sedrak, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3650 South St, Suite 209, Lakewood, CA 90712 Phone: 562-634-1254 | |
Arlene Francisco-hugh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3650 E. South St., Suite 204, Lakewood, CA 90712 Phone: 562-602-8841 Fax: 562-602-8843 |