Individual
OLIVIA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16500 VENTURA BLVD, ENCINO, CA 91436-2011
(818) 788-1003
Mailing address
16500 VENTURA BLVD STE 414, ENCINO, CA 91436-5050
(818) 788-1003
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6449
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R12898087
HEALTH NET
CA
Enumeration date
01/31/2021
Last updated
01/31/2021
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