Search › California › 1223G0001X
Hailu Mehanzel, DMD
NPI 1245672716 · on the registry since 2013
Practice
- Address
- 1031 Waterloo Rd
Stockton, CA 95205 - Phone
- (209) 940-5600
- Fax
- (209) 940-5065
- Organisation at this address
- Community Medical Centers, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California