Michelle Renee Gutierrez-Mendoza, M.D., Inc., a Prof Med Corp

Primary specialty

Women's HospitalTaxonomy code 282NW0100X

License

A90028 Issued in CA

Legal business name

MICHELLE RENEE GUTIERREZ-MENDOZA, M.D., INC., A PROF MED CORP

Practice address

4020 Fifth Avenue
Mer 14
San Diego, CA 92103-2180

Phone

(619) 686-3577

Fax

(619) 260-7310

NPI assigned

Apr 10, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michelle Renee Gutierrez-Mendoza, MD

Title

Physician

Phone

(619) 727-3451

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1467695189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 UNIVERSITY AVE",
            "address_2": "#1672",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033395",
            "telephone_number": "619-727-3451",
            "fax_number": "619-260-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 FIFTH AVENUE",
            "address_2": "MER 14",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032180",
            "telephone_number": "619-686-3577",
            "fax_number": "619-260-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE RENEE GUTIERREZ-MENDOZA, M.D., INC., A PROF MED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ-MENDOZA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "619-727-3451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282NW0100X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Women",
            "state": "CA",
            "license": "A90028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michelle Majo DDS, Inc
• Rachel J Michels, MD
• Bernard Aron Michlin, M.D.
• Keith Leonard Michon, CRNA
• Sharon Lesley Mick, NP
• Aaron C Mickaelian

• General Acute Care Hospital in San Diego, CA
• Providers in San Diego, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.