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NPI Code Detail

MEDICARE: MS. ANA E MENDOZA M.D

MEDICARE: MS. ANA E 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
12084P0800XPsychiatry PhysicianA85866CA

General Provider Information

NPI Number : 1922017698
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANA E MENDOZA M.D
Provider Business Mailing Address
First Line : 9162 N WOODLAWN DR
Second Line :
City : FRESNO
State : CA
Zip : 93720-1290
Country : US
Telephone Number : 559-433-4686
Fax Number : 559-433-4686
Provider Business Practice Location Address
First Line : 5588 N PALM AVE
Second Line :
City : FRESNO
State : CA
Zip : 93704-1913
Country : US
Telephone Number : 559-459-4548
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 07/08/2007

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