Provider Demographics
NPI:1356141675
Name:MENDOZA, MARIA MAGDALENA (MEDICAL HEALTH CARE)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:MAGDALENA
Last Name:MENDOZA
Suffix:
Gender:
Credentials:MEDICAL HEALTH CARE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 S MARKET ST UNIT 2004
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95113-2876
Mailing Address - Country:US
Mailing Address - Phone:669-288-8458
Mailing Address - Fax:
Practice Address - Street 1:360 S MARKET ST UNIT 2004
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95113-2876
Practice Address - Country:US
Practice Address - Phone:669-288-8458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter