Mendoza, Vivian

Mendoza, Vivian is an individual health care provider with primary practice located at 24451 Health Center Drive , Laguna Hills CA 92653. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Mendoza, Vivian can be contacted via phone (949) 452-3051.

Contact Information

Primary practice address
24451 Health Center Drive Laguna Hills CA 92653
Phone: (949) 452-3051
Fax: (949) 452-3066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G62239 California

Profile Details

NPI number 1073556270
LBN Legal business name Mendoza, Vivian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jan 27th, 2016 - about 8 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 1073556270 NPPES
California MEDICAID 00G622390

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