Individual
MS. ANGELICA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED EMT
Contact information
Practice address
176 E JAVELIN ST, CARSON, CA 90745-1216
(916) 752-8030
Mailing address
176 E JAVELIN ST, CARSON, CA 90745-1216
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
CA
2255A2300X
Athletic Trainer
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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