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Juan Antonio Mendoza
Amputee Clinic/Center in Chula Vista, California
NPI 1497055073

Juan Antonio Mendoza is an Amputee Clinic/Center based in San Diego, CA and is specialized in Amputee. Juan Antonio Mendoza practices in Chula Vista, CA. The NPI Number for Juan Antonio Mendoza is 1497055073 and holds a License No. (California).

The current practice location address for Juan Antonio Mendoza is 205 Church Ave, Chula Vista, CA and can be reached out via phone at 619-425-8189 and via fax at 619-425-7907. 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: 205 Church Ave, Chula Vista, CA, 92120-3428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497055073
Provider Name
Juan Antonio Mendoza
Credential
Provider Entity Type
Organization
Address
205 Church Ave, Chula Vista, CA, 92120-3428
Phone Number
619-425-8189
Fax Number
619-425-7907
Provider Enumeration Date
10/28/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
205 Church Ave
City
Chula Vista
State
California
Zip
91910-2702
Phone Number
619-425-8189
Fax Number
619-425-7907
person
Provider Business Mailing Address Details
Address
205 Church Ave
City
Chula Vista
State
California
Zip
91910-2702
Phone Number
619-425-8189
Fax Number
619-425-7907
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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