Vivian Mendoza, MD | |
24451 Health Center Drive, Laguna Hills, CA 92653 | |
(949) 452-3051 | |
(949) 452-3066 |
Full Name | Vivian Mendoza |
---|---|
Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 24451 Health Center Drive, Laguna Hills, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073556270 | NPI | - | NPPES |
00G622390 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G62239 (California) | Primary |
Entity Name | Affiliated Pathologists Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730119553 PECOS PAC ID: 7315840535 Enrollment ID: O20040127000838 |
Mailing Address | Practice Location Address |
---|---|
Vivian Mendoza, MD 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 Ph: (310) 225-3244 | Vivian Mendoza, MD 24451 Health Center Drive, Laguna Hills, CA 92653 Ph: (949) 452-3051 |
John Lacy, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 24451 Health Center Dr, Laguna Hills, CA 92653 Phone: 949-452-3050 Fax: 949-452-3066 | |
Thomas G. Hirose, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 24407 Calle De La Louisa Ste 100, Laguna Hills, CA 92653 Phone: 949-581-0555 Fax: 949-581-7555 | |
Lingli Cai, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 24451 Health Center Dr, Pathology Dept, Laguna Hills, CA 92653 Phone: 949-452-3562 Fax: 949-452-3066 | |
Dr. Sonja C. Matthias, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 24451 Health Center Dr, Laguna Hills, CA 92653 Phone: 949-452-3562 Fax: 310-698-7054 | |
Albert Huang, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 24451 Health Center Dr, Laguna Hills, CA 92653 Phone: 949-452-3053 Fax: 949-452-3066 | |
Dr. Michelle Angela Fajardo, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 24451 Health Center Dr, Laguna Hills, CA 92653 Phone: 949-452-3053 Fax: 949-452-3066 |