Individual
ERIC LIONEL MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
15243 VANOWEN ST, SUITE 107, VAN NUYS, CA 91405-3605
(818) 849-6613
Mailing address
11611 BLUCHER AVE, UNIT #173, GRANADA HILLS, CA 91344-3249
(818) 741-8326
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10946
CA
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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