Mendoza, Raymundo G

Mendoza, Raymundo G is an sole proprietor health care provider with primary practice located at 2411 E Plaza Blvd National City Eyecare, National City CA 91950-5101. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mendoza, Raymundo G can be contacted via phone (619) 475-2184.

Contact Information

Primary practice address
2411 E Plaza Blvd National City Eyecare National City CA 91950-5101
Phone: (619) 475-2184
Fax: (619) 475-3917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 8150T California

Profile Details

NPI number 1306837760
LBN Legal business name Mendoza, Raymundo G
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2005
Last updated Jun 30th, 2008 - about 16 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 1306837760 NPPES
California MEDICAID SD0081500

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