Most Relevant Information
Provider Data
| NPI Number: | 1003058348 |
| Provider Name: | ANNA TERESA MENDOZA TSAY ANP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | 18500 |
Most Important Dates
| Enumeration Date: | 04/01/2009 |
| Last Updated: | 10/07/2021 |
Provider Practice Location
3913 YORK BLVD
LOS ANGELES
CA
900653718
Practice Location Phone/Fax
| Phone: | 3235321900 |
| Fax: |
Provider Mailing Location
393 E WALNUT ST
PHR GROUP PROVIDER ENROLLMENT UNIT FL 3
PASADENA
CA
911880001
Provider Mailing Phone/Fax
| Phone: | 8776080044 |
| Fax: | 8775140903 |