Individual
JAEL MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2703 TITANIA PL, SIMI VALLEY, CA 93063-6553
(805) 304-5681
Mailing address
2703 TITANIA PL, SIMI VALLEY, CA 93063-6553
(805) 304-5681
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95037925
CA
Other
Enumeration date
01/17/2026
Last updated
01/17/2026
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