Individual
JOSE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6800 OWENSMOUTH AVE STE 160, CANOGA PARK, CA 91303-4255
(747) 292-3136
Mailing address
655 MAPLE AVE, LOS ANGELES, CA 90014-2211
(747) 292-3136
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-DAQXNF
CA
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
08/08/2012
Last updated
04/15/2026
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