Individual
MATTHEW MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5275 CLAREMONT AVE, OAKLAND, CA 94618-1032
(510) 428-3000
Mailing address
3018 PONDEROSA DR, CONCORD, CA 94520-1622
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37362
CA
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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