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Kevin Rafael Mendoza
Student in an Organized Health Care Education/Training Program in San Fernando, California
NPI 1346977592

Kevin Rafael Mendoza is a Student in an Organized Health Care Education/Training Program based in Palmdale, CA. Kevin Rafael Mendoza practices in San Fernando, CA. The NPI Number for Kevin Rafael Mendoza is 1346977592 and holds a License No. (California).

The current practice location address for Kevin Rafael Mendoza is 919 1St St, San Fernando, CA and can be reached out via phone at 818-832-2400.

Location: 919 1St St, San Fernando, CA, 93552-3259
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346977592
Provider Name
Kevin Rafael Mendoza
Credential
Provider Entity Type
Individual
Gender
Male
Address
919 1St St, San Fernando, CA, 93552-3259
Phone Number
818-832-2400
Fax Number
Provider Enumeration Date
08/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
919 1St St
City
San Fernando
State
California
Zip
91340-2957
Phone Number
818-832-2400
Fax Number
person
Provider Business Mailing Address Details
Address
919 1St St
City
San Fernando
State
California
Zip
91340-2957
Phone Number
818-832-2400
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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