Organization · NPI-2

Alejandra D. Mendizabal Registered Nursing And Family Practice INC

Family Medicine · Fontana, CA

NPI number1194571398
StatusActive
Last updated in NPPESApr 29, 2024

Details

NPI
1194571398
Entity type
Organization (NPI-2)
Legal business name
Alejandra D. Mendizabal Registered Nursing And Family Practice INC
Organization subpart
No
Enumeration date
Apr 29, 2024
Certification date
Apr 28, 2024
Last updated
Apr 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

9653 Alder Ave
Fontana, CA 92335-6129

Phone 909-600-7002

Mailing address

14325 Tori Ct
Mission Hills, CA 91345-1836

Other practice locations

9128 Woodman Ave
Arleta, CA 91331-6405

Phone 818-892-7795

Authorized official

Alejandra Damayanti Mendizabal
Ceo
6616667238

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