| Mendoza Medical Clinic | |
|
11735 Firestone Blvd Norwalk CA 90650 | |
| (562) 925-7716 | |
| (562) 867-0665 |
| Full Name | Mendoza Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 11735 Firestone Blvd, Norwalk, California |
| Authorized Official Name and Position | Manuel F. Mendoza (CEO) |
| Authorized Official Contact | 5629257716 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mendoza Medical Clinic 11735 Firestone Blvd Norwalk CA 90650 Ph: (562) 925-7716 | Mendoza Medical Clinic 11735 Firestone Blvd Norwalk CA 90650 Ph: (562) 925-7716 |
| NPI Number | 1942416045 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 02/28/2023 |
| Medicare PECOS PAC ID | 9537244769 |
|---|---|
| Medicare Enrollment ID | O20080311000636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942416045 | NPI | - | NPPES |
| W21839 | Other | CA | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rasiq Aj Ahmed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033394408 PECOS PAC ID: 6507949278 Enrollment ID: I20080219000307 |
| Provider Name | Manuel F Mendoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295824654 PECOS PAC ID: 1456436781 Enrollment ID: I20080311000621 |
| Provider Name | Ash Tajarros Cordero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770942336 PECOS PAC ID: 9032479860 Enrollment ID: I20180215002572 |
| Provider Name | Katrina Arnau Casimiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629319017 PECOS PAC ID: 2567709983 Enrollment ID: I20190123002831 |
| Provider Name | Snooky Genalin Dagala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275044703 PECOS PAC ID: 6103245675 Enrollment ID: I20201001002995 |
| Provider Name | Ronan Basillote Patonona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407496433 PECOS PAC ID: 5294155065 Enrollment ID: I20201015003088 |
| Provider Name | Mayra Jasmin Grey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669258992 PECOS PAC ID: 6406291392 Enrollment ID: I20240301001089 |
Studebaker Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13132 Studebaker Road, Suite 9, Norwalk, CA 90650 Phone: 562-863-1012 | |
Pravin Kapadia Md. A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13330 Bloomfield Ave, # 210, Norwalk, CA 90650 Phone: 562-864-4004 Fax: 562-864-4959 | |
E.p. Delfin, Jr., M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13330 Bloomfield Ave, 112, Norwalk, CA 90650 Phone: 562-864-2544 Fax: 562-864-8608 | |
Lucita M Cruz Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12507 Alondra Blvd, Norwalk, CA 90650 Phone: 562-802-2203 Fax: 562-404-8555 | |
Prime Med Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13132 Studebaker Rd Ste 7, Norwalk, CA 90650 Phone: 562-525-7118 Fax: 562-991-6130 | |
Harris Musafer Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12006 Rosecrans Ave, Norwalk, CA 90650 Phone: 562-863-7007 Fax: 562-929-0516 | |
Martin R Zapata Do Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11865 Firestone Blvd, Norwalk, CA 90650 Phone: 562-806-1214 Fax: 562-806-1218 |