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NPI Code Detail

MEDICARE: FRANCISCO REYNA MENDOZA M.D.

MEDICARE:   FRANCISCO REYNA 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
1207Q00000XFamily Medicine PhysicianG63191CA

General Provider Information

NPI Number : 1093782278
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCISCO REYNA MENDOZA M.D.
Provider Business Mailing Address
First Line : 124 W FESLER ST
Second Line :
City : SANTA MARIA
State : CA
Zip : 93458-4002
Country : US
Telephone Number : 805-928-7881
Fax Number : 805-928-1931
Provider Business Practice Location Address
First Line : 124 W FESLER ST
Second Line :
City : SANTA MARIA
State : CA
Zip : 93458-4002
Country : US
Telephone Number : 805-928-7881
Fax Number : 805-928-1931
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 04/26/2012

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Directions to “ FRANCISCO REYNA MENDOZA M.D.” Practice Location

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