Individual
MARTHA J RIVAS-MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3130 BURBANK BLVD, SHERMAN OAKS, CA 91401
(818) 781-0360
Mailing address
6071 LA PRADA ST APT 8, LOS ANGELES, CA 90042-2063
(818) 781-0360
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
874
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
874
SPEECH PATHOLOGY AND AUDIOLOGY AND HEARING AID DISPENSERS BOARD
CA
Enumeration date
12/27/2017
Last updated
06/16/2018
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