ANGELICA MENDOZA MEDICAL ASSISTANT NPI 1699399634

NPI Information

NPI: 1699399634
Provider Name: ANGELICA MENDOZA, MEDICAL ASSISTANT
Classification: Specialist/Technologist, Other - 246Z00000X
Entity Type: Individual
Address:
1628 BROADWAY ST
VALLEJO, CA
ZIP 94590
Phone: (707) 649-8300
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Angelica Mendoza, MEDICAL ASSISTANT is a specialist technologist other in Vallejo, CA. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. Angelica Mendoza, MEDICAL ASSISTANT NPI is 1699399634. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1628 BROADWAY ST
VALLEJO, CA
ZIP 94590-405
Phone: (707) 649-8300
Fax: (707) 649-8302

The enumeration date for this NPI number is 6/5/2020 and was last updated on 6/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246Z00000X	Specialist/Technologist, Other		B4K5W6G8	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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