<Unavail>

LBN: Juan Antonio Mendoza
<Unavail> is an health care organization with primary practice located at 205 Church Ave , Chula Vista CA 91910-2702. 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) 425-8189, or through Prater, John via phone (619) 285-5040.

Contact Information

Primary practice address
205 Church Ave Chula Vista CA 91910-2702
Phone: (619) 425-8189
Fax: (619) 425-7907
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 1497055073
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 Dec 14th, 2010 - about 16 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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