Individual
MIRKO MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
14445 OLIVE VIEW DR, SYLMAR, CA 91342-1437
(818) 212-1156
Mailing address
14445 OLIVE VIEW DR, SYLMAR, CA 91342-1437
(818) 212-1156
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95025436
CA
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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