JUAN ANTONIO MENDOZA

SAN DIEGO, CA
NPI1588964464
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
Additional Taxonomies222Z00000X Orthotist
225000000X Orthotic Fitter
Enumeration Date2010-10-26
Last Update Date2010-10-26
Business Address
Mr. JUAN ANTONIO MENDOZA CPO
6190 FAIRMOUNT AVE SUITE A
SAN DIEGO, CA 92120-3428
Phone number: 619-285-5040
Mailing Address
Mr. JUAN ANTONIO MENDOZA CPO
6190 FAIRMOUNT AVE SUITE A
SAN DIEGO, CA 92120-3428
Phone number: 619-285-5040