NOE MENDOZA NPI 1710174529

NPI Information

NPI: 1710174529
Provider Name: NOE MENDOZA
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
1317 HUNTINGTON DR
SOUTH PASADENA, CA
ZIP 91030
Phone: (323) 344-5541
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Noe Mendoza is a rehabilitation practitioner in South Pasadena, CA. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Noe Mendoza NPI is 1710174529. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1317 HUNTINGTON DR
SOUTH PASADENA, CA
ZIP 91030-511
Phone: (323) 344-5541

The enumeration date for this NPI number is 9/26/2007 and was last updated on 9/26/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225400000X	Rehabilitation Practitioner				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7184	OTHER	CALIFORNIA	MEDI-CAL
2	7667	OTHER	CALIFORNIA	MEDI-CAL
3	7368	OTHER	CALIFORNIA	MEDI-CAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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