Individual
EDER MONDRAGON MARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
16580 HARBOR BLVD STE M, FOUNTAIN VALLEY, CA 92708-1385
(949) 250-0488
(714) 540-1908
Mailing address
16580 HARBOR BLVD STE M, FOUNTAIN VALLEY, CA 92708-1385
(949) 250-0488
(714) 540-1908
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
02/06/2018
Last updated
05/29/2025
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