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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORGE CAMILO MENDEZ VIDES

Active

JORGE CAMILO MENDEZ VIDES is a Emergency Medical Technician, Basic healthcare provider located in TARZANA, California. NPI 1679231807 is currently active in the NPPES registry. Verify at CMS.

Emergency Medical Technician, Basic · TARZANA, CA

Registration Details

NPI Number
1679231807
Provider Type
Individual
Gender
Male
NPI Issued
Dec 6, 2021 (4.72523524725 yrs)
Last Updated
Dec 6, 2021
License
E144860 (CA)

Practice Information

Address
18321 CLARK ST
TARZANA, CA, 913563501
Browse CA providers · Browse ZIP 91356
Phone
8187085172
Primary Specialty
Emergency Medical Technician, Basic
146N00000X
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.