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NPI Code Detail

MEDICARE: DR. MARCELO MENDOZA MD

MEDICARE: DR. MARCELO 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
1207L00000XAnesthesiology Physician56081CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12004015169OTHERMOPHYSICIANS LICENSE

General Provider Information

NPI Number : 1467417519
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARCELO MENDOZA MD
Provider Business Mailing Address
First Line : 2635 G ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-2813
Country : US
Telephone Number : 661-633-2300
Fax Number :
Provider Business Practice Location Address
First Line : 2615 CHESTER AVE
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-2014
Country : US
Telephone Number : 661-395-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 06/19/2023

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Directions to “ DR. MARCELO MENDOZA MD” Practice Location

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