Individual
MR. EDGARDO MENDOZA REYES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10802 COLLEGE PL, CERRITOS, CA 90703-1579
(562) 924-9581
(562) 924-1804
Mailing address
10802 COLLEGE PL, CERRITOS, CA 90703-1579
(562) 924-9581
(562) 924-1804
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
495237
CA
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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