Individual
BERTHA VANESSA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S OLIVE ST, LOS ANGELES, CA 90015-3023
(323) 747-5542
Mailing address
1530 S OLIVE ST, LOS ANGELES, CA 90015-3023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
102347
CA
171M00000X
Case Manager/Care Coordinator
—
CA
Other
Enumeration date
07/25/2017
Last updated
12/28/2021
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