| Name: | Phillip Mendoza MD, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 10 Nov 2021 (3 years ago) |
| Branch of: | Phillip Mendoza MD, LLC, COLORADO (Company Number 20141280303) |
| Entity Number: | 10178917 |
| ZIP code: | 99501 |
| County: | Anchorage |
| Place of Formation: | COLORADO |
| Mailing Address: | 2904 WILL ROGERS PL, ANCHORAGE, AK 99517 |
| Address: | 3001 PORCUPINE DR STE 19, SUITE D, ANCHORAGE, CO 99501 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| Phillip Mendoza | Member |
| Phillip Mendoza | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 2152070 | Business License | Active | 2022-03-14 | 2023-12-14 | 2025-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| 185097 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2021-11-12 | 2021-11-12 | - |
Date of last update: 20 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
