Furtek, Maryanne Mendoza
Furtek, Maryanne Mendoza is an individual health care provider with primary practice located at 1100 West Stewart Drive , Orange CA 92868-3849. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Furtek, Maryanne Mendoza can be contacted via phone (714) 633-9111.Contact Information
Primary practice address
1100 West Stewart Drive
Orange CA 92868-3849
Phone: (714) 633-9111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA13534 | California |
Profile Details
| NPI number | 1659303881 |
|---|---|
| LBN Legal business name | Furtek, Maryanne Mendoza |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jul 29th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659303881 | NPPES |
| California | MEDICAID | PA13534 |
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