| Organization Name: | PIONEERS MEMORIAL HEALTHCARE DISTRICT |
| NPI Number: | 1316074073 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD MENDOZA (CEO) |
| Mailing Address: | 731 Cesar Chavez Blvd Calexico |
| State: | CA US |
| Postal Code: | 922312105 |
| Phone Number: | 7603574850 |
| Fax Number: | 7603576991 |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 255734 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |