Michael Fornoles Mendoza in Chatsworth - Physician Assistant
Michael Fornoles Mendoza - NPI 1720209661
Michael Fornoles Mendoza is a Physician Assistant in Chatsworth, California. Michael Fornoles Mendoza practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael Fornoles Mendoza is 1720209661. The last update date is 2021-11-30.
Michael Fornoles Mendoza's current location address is 20811 Tulsa St, Chatsworth, California. You can contact this provider via phone number 8184272141. The mailing address for Michael Fornoles Mendoza is 20811 Tulsa St, Chatsworth, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Fornoles Mendoza |
|---|---|
| Address | 20811 Tulsa St, Chatsworth, California |
| Phone Number | 8184272141 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1720209661 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2021-11-30 |
Provider Mailing Address Detail
| Address | 20811 Tulsa St |
|---|---|
| City | Chatsworth |
| State | California (CA) |
| Post Code | 913111535 |
| Phone Number | 8184272141 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA18750 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA18750 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael Fornoles Mendoza by the Centers for Medicare & Medicaid Services?
The Michael Fornoles Mendoza has been issued the NPI (National Provider Identifier) 1720209661, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Michael Fornoles Mendoza's physical address?
The Michael Fornoles Mendoza is physically located at 20811 Tulsa St, in the city of Chatsworth, CA, with the postal code 913111535.
What is the Michael Fornoles Mendoza's area of specialization and corresponding taxonomy classification?
The Michael Fornoles Mendoza's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1720209661 assigned to Michael Fornoles Mendoza?
The Michael Fornoles Mendoza was issued its 1720209661 on 2007-05-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Michael Fornoles Mendoza most recently updated or revised?
The details related to Michael Fornoles Mendoza, including its address, specialty, and other relevant information, were last updated or revised on 2021-11-30.
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