Healthcare Provider Details

I. General information

NPI: 1578192944
Provider Name (Legal Business Name): FAYE GUZMAN MENDOZA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FAYE MENDOZA-BARTKOWSKI MD

II. Dates (important events)

Enumeration Date: 04/07/2020
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2204 GRANT RD STE 201
MOUNTAIN VIEW CA
94040-3877
US

IV. Provider business mailing address

2204 GRANT RD STE 201
MOUNTAIN VIEW CA
94040-3877
US

V. Phone/Fax

Practice location:
  • Phone: 650-968-4535
  • Fax:
Mailing address:
  • Phone: 650-968-4535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA188352
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: