Individual
MARIA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
942 S ATLANTIC BLVD, LOS ANGELES, CA 90022-4004
(323) 263-9700
(323) 263-8042
Mailing address
616 DAVIS AVE, MONTEBELLO, CA 90640-5510
(323) 712-2820
(323) 263-8042
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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