Mendoza, Kenny

Mendoza, Kenny is an individual health care provider with primary practice located at 34800 Bob Wilson Dr , San Diego CA 92134. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Mendoza, Kenny can be contacted via phone (619) 532-6911.

Contact Information

Primary practice address
34800 Bob Wilson Dr San Diego CA 92134
Phone: (619) 532-6911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1841851631
LBN Legal business name Mendoza, Kenny
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2019
Last updated Jun 24th, 2019 - 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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