Mendoza, Stanley Atran

Mendoza, Stanley Atran is an individual health care provider with primary practice located at 8110 Birmingham Way , San Diego CA 92123-2758. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Mendoza, Stanley Atran can be contacted via phone (858) 966-8052.

Contact Information

Primary practice address
8110 Birmingham Way San Diego CA 92123-2758
Phone: (858) 966-8052
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C33479 California
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X C33479 California

Profile Details

NPI number 1861563629
LBN Legal business name Mendoza, Stanley Atran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - about 18 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 1861563629 NPPES
California MEDICAID 00C334790

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