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1376165878 NPI number — ZEIDY JULISSA MENDOZA-PINEDA FNP

NPI Number: 1376165878
Health Care Provider/Practitioner: ZEIDY JULISSA MENDOZA-PINEDA FNP

Information about “1376165878” NPI (ZEIDY JULISSA MENDOZA-PINEDA FNP) exists in 1376165878 in HTML format HTML  |  1376165878 in plain Text format TXT  |  1376165878 in PDF (Portable Document Format) PDF  |  1376165878 in an XML format XML  formats.

NPI Number : 1376165878 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376165878",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MENDOZA-PINEDA",
    "FirstName": "ZEIDY",
    "MiddleName": "JULISSA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MENDOZA",
    "OtherFirstName": "ZEIDY",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "FNP",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "20707 NEW HAMPSHIRE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TORRANCE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90502-1526",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-719-1380",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "801 N HARBOR BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ANAHEIM",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92805-1810",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "714-774-7500",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/07/2020",
    "LastUpdateDate": "11/27/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP2300X",
        "TaxonomyName": "Primary Care Nurse Practitioner",
        "LicenseNumber": "95013398",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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