Individual
DIANA CAROLINA MENDIZABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17862 17TH ST STE 107, TUSTIN, CA 92780-2170
(714) 661-5390
Mailing address
17862 17TH ST STE 107, TUSTIN, CA 92780-2170
(714) 661-5390
(714) 661-5449
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW123742
CA
172V00000X
Community Health Worker
—
CA
Other
Enumeration date
04/09/2021
Last updated
09/03/2024
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