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NPI Code Detail

MEDICARE: SANDRA MENDEZ, MD, INC.

MEDICARE: SANDRA MENDEZ, MD, INC.
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
1207V00000XObstetrics & Gynecology PhysicianG61146CA

General Provider Information

NPI Number : 1972569648
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANDRA MENDEZ, MD, INC.
Provider Business Mailing Address
First Line : 7501 HOSPITAL DR
Second Line : SUITE 204
City : SACRAMENTO
State : CA
Zip : 95823-5405
Country : US
Telephone Number : 916-681-2660
Fax Number : 916-681-2671
Provider Business Practice Location Address
First Line : 7501 HOSPITAL DR
Second Line : SUITE 204
City : SACRAMENTO
State : CA
Zip : 95823-5405
Country : US
Telephone Number : 916-681-2660
Fax Number : 916-681-2671
Authorized Official
Title or Position : PRESIDENT/OWNER/PROVIDER
Name : SANDRA MENDEZ
Credential : M.D.
Telephone Number : 916-681-2660
Provider Enumeration Date : 04/21/2006
Last Update Date : 02/07/2012

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