Mendoza, Rafael Enrique
Mendoza, Rafael Enrique is an sole proprietor health care provider with primary practice located at 1115 S Sunset Ave , West Covina CA 91790-3940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mendoza, Rafael Enrique can be contacted via phone (626) 962-4011.Contact Information
Primary practice address
1115 S Sunset Ave
West Covina CA 91790-3940
Phone: (626) 962-4011
Fax: (626) 859-5873
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G6020 | California |
Profile Details
| NPI number | 1790799930 |
|---|---|
| LBN Legal business name | Mendoza, Rafael Enrique |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790799930 | NPPES |
| California | MEDICAID | 00G60200 | |
| California | Other | 00G60200 |
Popular Providers
-
Baker, Cara Beth
1115 S Sunset Ave , West Covina CA 91790-3940 -
Martinez, Ruben
210 W San Bernardino Rd , Covina CA 91723-1515 -
Parks, Jeffrey
210 W San Bernardino Rd , Covina CA 91723-1515 -
Gunawardana, Rajah P
1115 S Sunset Ave , West Covina CA 91790-3940 -
Wu, Yiping
1115 S Sunset Ave , West Covina CA 91790-3940 -
Chan, Kok
210 W San Bernardino Rd , Covina CA 91723-1515 -
Singh, Parvinder
210 W San Bernardino Rd , Covina CA 91723-1515 -
Chatterjee, Taposh
210 W San Bernardino Rd , Covina CA 91723-1515