Mendoza, Michael Fornoles

Mendoza, Michael Fornoles is an individual health care provider with primary practice located at 15031 Rinaldi St , Mission Hills CA 91345-1207. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mendoza, Michael Fornoles can be contacted via phone (818) 365-8051.

Contact Information

Primary practice address
15031 Rinaldi St Mission Hills CA 91345-1207
Phone: (818) 365-8051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA18750 California

Profile Details

NPI number 1720209661
LBN Legal business name Mendoza, Michael Fornoles
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Nov 30th, 2021 - about 3 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 1720209661 NPPES
California MEDICAID PA18750

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