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NPI Code Detail

MEDICARE: DR. ALYSSA-CLAIRE TORRES MENDOZA MD

MEDICARE: DR. ALYSSA-CLAIRE TORRES MENDOZA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0402XNeurology with Special Qualifications in Child Neurology Physician35.154173OH
2390200000XStudent in an Organized Health Care Education/Training Program
3208000000XPediatrics Physician57.249858OH

General Provider Information

NPI Number : 1346869468
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALYSSA-CLAIRE TORRES MENDOZA MD
Provider Business Mailing Address
First Line : 700 CHILDRENS DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2664
Country : US
Telephone Number : 614-722-6200
Fax Number :
Provider Business Practice Location Address
First Line : 555 S 18TH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2654
Country : US
Telephone Number : 614-722-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2020
Last Update Date : 04/10/2026

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