| Mendoza Family Practice Medical Corporation | |
|
1303 Jefferson St Delano CA 93215-2205 | |
| (661) 720-9111 | |
| (661) 725-4689 |
| Full Name | Mendoza Family Practice Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1303 Jefferson St, Delano, California |
| Authorized Official Name and Position | Anna Luisa Mendoza (PHYSICIAN) |
| Authorized Official Contact | 6617209111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mendoza Family Practice Medical Corporation 1303 Jefferson St Delano CA 93215-2205 Ph: (661) 720-9111 | Mendoza Family Practice Medical Corporation 1303 Jefferson St Delano CA 93215-2205 Ph: (661) 720-9111 |
| NPI Number | 1073700134 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 02/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073700134 | NPI | - | NPPES |
| 1073700134 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A88698 (California) | Primary |
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