Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Kenneth Mindoro, MD

Individual provider Family Medicine Physician · NPI 1801974845

Dr. Michael Kenneth Mindoro, MD is a Family Medicine Physician in Banning, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

11555 1/2 Potrero Rd
Banning, CA 92220-6946
Phone: (951) 849-4761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A92023 (CA)

Record details

NPI number1801974845
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESJuly 8, 2007
Mailing address10741 Coloma St, Loma Linda, CA 92354-2301

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