Susana Maribel Mendoza, M.D.
Internal Medicine, Nephrology in Los Angeles, CA. Individual provider (NPI-1).
NPI number1255463592
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1255463592
- Entity type
- Individual (NPI-1)
- Name
- Susana Maribel Mendoza
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | A87787 | CA | Yes |
Practice location
4700 W Sunset Blvd2nd Floor, Nephrology Department
Los Angeles, CA 90027-6082
Phone 323-783-5987
Mailing address
8920 Murietta AvePanorama City, CA 91402-2628
Phone 310-903-1364
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