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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659303881 NPPES
California MEDICAID PA13534

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