Lucio, Julita Mendoza

Lucio, Julita Mendoza is an individual health care provider with primary practice located at 14550 Haynes St , Van Nuys CA 91411-1613. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Lucio, Julita Mendoza can be contacted via phone (818) 650-6700.

Contact Information

Primary practice address
14550 Haynes St Van Nuys CA 91411-1613
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 47938 California

Profile Details

NPI number 1902967904
LBN Legal business name Lucio, Julita Mendoza
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Nov 10th, 2020 - about 5 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 1902967904 NPPES
California Other B4793801 MEDICAL

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