Mendoza, Mirella

Mendoza, Mirella is an individual health care provider with primary practice located at 122 E San Antonio Dr , King City CA 93930. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mendoza, Mirella can be contacted via phone (831) 385-5944.

Contact Information

Primary practice address
122 E San Antonio Dr King City CA 93930
Phone: (831) 385-5944
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X A005537 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP95008981 California

Profile Details

NPI number 1588165351
LBN Legal business name Mendoza, Mirella
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2018
Last updated Jul 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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