Mendoza, Juan Antonio

Mendoza, Juan Antonio is an sole proprietor health care provider with primary practice located at 6190 Fairmount Ave Suite A, San Diego CA 92120-3428. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Mendoza, Juan Antonio can be contacted via phone (619) 285-5040.

Contact Information

Primary practice address
6190 Fairmount Ave Suite A San Diego CA 92120-3428
Phone: (619) 285-5040
Fax: (619) 285-5045
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X

Profile Details

NPI number 1588964464
LBN Legal business name Mendoza, Juan Antonio
Credentials CPO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2010
Last updated Oct 26th, 2010 - about 14 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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