Individual ProviderChantal Marie MendesPediatricsAllopathic & Osteopathic PhysiciansPractice Address3020 Childrens Way, San Diego, CA 92123-4223(858) 966-8800(858) 309-6300PECOS EnrollmentBased on the most recent information from CMS, provider Chantal Marie Mendes does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 2:29 PM.Profile DetailsProvider ID1134681265Provider TypeIndividualFull NameMendes, Chantal MarieTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/6/2019Last Updated8/30/2022Contact InformationPractice LocationPractice Address3020 Childrens Way, San Diego, CA 92123-4223Phone(858) 966-8800FaxUnlisted FaxMailing LocationMailing Address3020 Childrens Way # Mc5003, San Diego, CA 92123-4223Phone(858) 309-6300FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseA179810CaliforniaCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense11912786-1205Utah