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Juan Antonio Mendoza
Amputee Clinic/Center in San Diego, California
NPI 1154621720

Juan Antonio Mendoza is an Amputee Clinic/Center based in San Diego, CA and is specialized in Amputee. Juan Antonio Mendoza practices in San Diego, CA. The NPI Number for Juan Antonio Mendoza is 1154621720 and holds a License No. (California).

The current practice location address for Juan Antonio Mendoza is 6190 Fairmount Ave, San Diego, CA and can be reached out via phone at 619-285-5040 and via fax at 619-285-5045. You can also correspond with Juan Antonio Mendoza through the mailing address at 6190 FAIRMOUNT AVE, SAN DIEGO, CA - 92120-3428 (mailing address contact number: 619-285-5040).

Location: 6190 Fairmount Ave, San Diego, CA, 92120-3428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154621720
Provider Name
Juan Antonio Mendoza
Credential
Provider Entity Type
Organization
Address
6190 Fairmount Ave, San Diego, CA, 92120-3428
Phone Number
619-285-5040
Fax Number
619-285-5045
Provider Enumeration Date
10/28/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6190 Fairmount Ave
City
San Diego
State
California
Zip
92120-3428
Phone Number
619-285-5040
Fax Number
619-285-5045
person
Provider Business Mailing Address Details
Address
6190 Fairmount Ave
City
San Diego
State
California
Zip
92120-3428
Phone Number
619-285-5040
Fax Number
619-285-5045
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Amputee
Taxonomy
261QA0900X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing counseling, fitting, custom design, prescriptive, and training services related to congenital or postoperative absence of all or part of a limb or limbs.
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