Individual
MR. ARMANDO BRAVO MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11721 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3674
(562) 949-8455
Mailing address
16511 GARFIELD AVE SPC 55, PARAMOUNT, CA 90723-5355
(562) 405-4040
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
MPSS-CRDMEN
CA
Other
Enumeration date
02/29/2008
Last updated
08/23/2023
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