Mark Mendoza, | |
888 S King St, Honolulu, HI 96813-3097 | |
(808) 522-4344 | |
Not Available |
Full Name | Mark Mendoza |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 888 S King St, Honolulu, Hawaii |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932683778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2393 (Hawaii) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Straub Clinic And Hospital | 6305759754 | 411 |
Entity Name | Straub Clinic & Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457306508 PECOS PAC ID: 6305759754 Enrollment ID: O20031111000417 |
Mailing Address | Practice Location Address |
---|---|
Mark Mendoza, 95-1047 Hakala St, Mililani, HI 96789-4256 Ph: (808) 382-4364 | Mark Mendoza, 888 S King St, Honolulu, HI 96813-3097 Ph: (808) 522-4344 |
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