Organization · Type 2 NPI
Juan Antonio Mendoza
Amputee Clinic/Center · San Diego, CA
NPI number
1154621720
Active
Practice location
6190 Fairmount Ave, Suite A
San Diego, CA 92120-3428
Fax (619) 285-5045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Amputee Clinic/Center Primary | 261QA0900X | None listed |
Amputee Clinic/Center: An entity, facility, or distinct part of a facility providing counseling, fitting, custom design, prescriptive, and training services related to congenital or postoperative absence of all or part of a limb or limbs.
2 other providers at this address
Other amputee clinic/center providers in San Diego
About NPI 1154621720
Juan Antonio Mendoza's National Provider Identifier is 1154621720, issued on Oct 28, 2010. The primary taxonomy on file is Amputee Clinic/Center (261QA0900X), and the practice location is in San Diego, CA. The record was last updated on Mar 4, 2011.