| Raul Y. Mendoza, Md Inc | |
|
5500 Ming Ave Ste 210 Bakersfield CA 93309-9120 | |
| (661) 834-8341 | |
| (661) 834-6095 |
| Full Name | Raul Y. Mendoza, Md Inc |
|---|---|
| Speciality | Counselor |
| Location | 5500 Ming Ave Ste 210, Bakersfield, California |
| Authorized Official Name and Position | Christine Weatherly (OFFICE MANAGER) |
| Authorized Official Contact | 6618348341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raul Y. Mendoza, Md Inc 5500 Ming Ave Ste 210 Bakersfield CA 93309-9120 Ph: (661) 834-8341 | Raul Y. Mendoza, Md Inc 5500 Ming Ave Ste 210 Bakersfield CA 93309-9120 Ph: (661) 834-8341 |
| NPI Number | 1396285607 |
|---|---|
| Provider Enumeration Date | 03/06/2017 |
| Last Update Date | 03/06/2017 |
| Medicare PECOS PAC ID | 4688958911 |
|---|---|
| Medicare Enrollment ID | O20170303001352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396285607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Raul Y Mendoza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104968239 PECOS PAC ID: 4385891860 Enrollment ID: I20120906000420 |
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