MEDICARE: DR. HILDA DE LA TORRE MENDOZA M.D.

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
1	208000000X	Pediatrics Physician	A82627	CA

General Provider Information

NPI Number	:	1043203805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HILDA DE LA TORRE MENDOZA M.D.

Provider Business Mailing Address
First Line	:	1640 NEWPORT BLVD STE 340
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92627-7730
Country	:	US
Telephone Number	:	949-645-4670
Fax Number	:	949-722-6866

Provider Business Practice Location Address
First Line	:	1640 NEWPORT BLVD STE 340
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92627-7730
Country	:	US
Telephone Number	:	949-645-4670
Fax Number	:	949-722-6866

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	06/04/2026

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