person
Dr. Evelyn Mendoza, MD
Specialist in Hemet, California
NPI 1558368605

Evelyn Mendoza is a Specialist based in Murrieta, CA. Evelyn Mendoza practices in Hemet, CA and has the professional credentials of MD. The NPI Number for Evelyn Mendoza is 1558368605 and holds a License No. A48611 (California).

The current practice location address for Evelyn Mendoza is 301 N San Jacinto St, Hemet, CA and can be reached out via phone at 951-766-6460 and via fax at 951-766-6459.

Location: 301 N San Jacinto St, Hemet, CA, 92562-5086
person
Provider Profile Details
NPI Number
1558368605
Provider Name
Evelyn Mendoza
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
301 N San Jacinto St, Hemet, CA, 92562-5086
Phone Number
951-766-6460
Fax Number
951-766-6459
Provider Enumeration Date
07/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05D1062719 01 CA CLIA NUMBER
5945420003 01 CA MEDICARE PART D DME
5945420004 01 CA MEDICARE PART D DME
1225222029 01 CA MEDICARE PART B DME
00A486110 05 CA
1457545840 01 CA MEDICARE PART B DME
1558555938 01 CA MEDICARE PART B DME
330643850 01 CA TAX INDENTIFICATION NUMBE
5945420001 01 CA MEDICARE PART D DME
1962696344 01 CA MEDICARE PART B DME
5945420002 01 CA MEDICARE PART D DME
institution
Provider Business Practice Location Address Details
Address
301 N San Jacinto St
City
State
Zip
92543-3113
Phone Number
951-766-6460
Fax Number
951-766-6459
person
Provider Business Mailing Address Details
Address
301 N San Jacinto St
City
State
Zip
92543-3113
Phone Number
951-766-6460
Fax Number
951-766-6459
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
A48611 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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