Individual provider · Type 1 NPI

Elder Mendoza, PA-C

Medical Physician Assistant · Montebello, CA

NPI number 1568659936 Active

Practice location

3114 W Beverly Blvd
Montebello, CA 90640-2217

Fax (323) 726-3870

Mailing address

2149 E Warner Rd, Ste 102
Tempe, AZ 85284-3495

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA19362 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1568659936

Elder Mendoza, PA-C's National Provider Identifier is 1568659936, issued on Oct 1, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Montebello, CA. The record was last updated on Aug 22, 2019.