<Unavail>

LBN: Juan Antonio Mendoza
<Unavail> is an health care organization with primary practice located at 6190 Fairmount Ave Suite A, San Diego CA 92120-3428. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Amputee. Ambulatory Health Care Facilities / Amputee is the primary health care specialty. Juan Antonio Mendoza can be contacted via phone (619) 285-5040, or through Prater, John via phone (619) 285-5040.

Contact Information

Primary practice address
6190 Fairmount Ave Suite A San Diego CA 92120-3428
Phone: (619) 285-5040
Fax: (619) 285-5045
Website:
Map and Directions
Authorized official contact:
Name: Prater, John
Phone: (619) 285-5040

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Amputee 261QA0900X

Profile Details

NPI number 1154621720
LBN Legal business name Juan Antonio Mendoza
DBA Doing business as <Unavail>
Authorized official Prater, John
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2010
Last updated Mar 4th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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