Individual
MR. JOEL MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCH TECH
Contact information
Practice address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(213) 583-5467
Mailing address
14107 CHILCOT ST, BALDWIN PARK, CA 91706-1525
(626) 533-5248
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36306
CA
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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