Provider Demographics
NPI:1497897375
Name:MENDOZA, GLENDA ORPIANO
Entity Type:Individual
Prefix:
First Name:GLENDA
Middle Name:ORPIANO
Last Name:MENDOZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1574 HOPSCOTCH DR
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91915-1802
Mailing Address - Country:US
Mailing Address - Phone:619-656-9340
Mailing Address - Fax:619-656-9340
Practice Address - Street 1:2650 STOCKTON RD
Practice Address - Street 2:BLDG. 624
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92106-6000
Practice Address - Country:US
Practice Address - Phone:619-524-5720
Practice Address - Fax:619-524-0118
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider