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Search › California › 390200000X

Jesus Duarte Mendoza

NPI 1669193983 · on the registry since 2022

Practice

Address
480 Alta Rd
San Diego, CA 92179
Phone
(619) 661-6500
Organisation at this address
Corrections And Rehabilitation-Headquarters
State Of California Prison Industry Authority
Inferred from a shared address, not stated in the registry.
Clinicians at this address
143

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
106S00000X
101YM0800X
Sex
Male
Record last updated
2025-06-30

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