Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID MENDONSA, PA-C
Active Sole ProprietorDAVID MENDONSA, PA-C is a General Practice healthcare provider located in KEAAU, Hawaii. NPI 1417386475 is currently active in the NPPES registry. Verify at CMS.
General Practice · KEAAU, HI
Registration Details
- NPI Number
- 1417386475
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 10, 2013 (12.792178978035 yrs)
- Last Updated
- Mar 6, 2018
- Licenses
-
ATP1392 (HI)AMD621 (HI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15-1697 TENTH AVEKEAAU, HI, 96749Browse HI providers · Browse ZIP 96749
- Phone
- 8083774734
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- General Practice
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.