Individual
ANDRES MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18700 OXNARD ST, TARZANA, CA 91356-1413
(818) 996-1051
Mailing address
18700 OXNARD ST, TARZANA, CA 91356-1413
(818) 996-1051
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-KXUTAD
CA
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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