Organization · Type 2 NPI
Juan Antonio Mendoza
Amputee Clinic/Center · Chula Vista, CA
NPI number
1497055073
Active
Practice location
205 Church Ave
Chula Vista, CA 91910-2702
Fax (619) 425-7907
Mailing address
6190 Fairmount Ave, Suite A
San Diego, CA 92120-3428
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 Chula Vista
About NPI 1497055073
Juan Antonio Mendoza's National Provider Identifier is 1497055073, issued on Oct 28, 2010. The primary taxonomy on file is Amputee Clinic/Center (261QA0900X), and the practice location is in Chula Vista, CA. The record was last updated on Dec 14, 2010.