Individual
EDGAR MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1509 WILSON TER, GLENDALE, CA 91206-4007
(818) 409-8173
(818) 546-5619
Mailing address
1509 WILSON TER, GLENDALE, CA 91206-4007
(818) 409-8173
(818) 546-5619
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
770530
CA
Other
Enumeration date
01/01/2025
Last updated
01/01/2025
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