Organization
THE DEPARTMENT OF PSYCHIATRY
Active
Organization
THE DEPARTMENT OF PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN A MENDOZA (DELEGATED OFFICIAL)
(714) 456-2986
Entity
Organization
Contact information
Practice address
20350 SW BIRCH ST, NEWPORT BEACH, CA 92660-1713
(714) 509-2230
(949) 250-9177
Mailing address
PO BOX 31001-2473, PASADENA, CA 91110-2473
(714) 456-3760
(714) 456-2398
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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