STEPHANIE MENDOZA
NPI 1306444724
Specialist in Riverside, CA
- Individual
- Female
- Specialist
About STEPHANIE MENDOZA
This page provides the complete NPI Profile along with additional information for Stephanie Mendoza, a provider established in Riverside, California with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1306444724 assigned on October 2020. The practitioner's primary taxonomy code is 174400000X with license number L9649 (CA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1306444724 Verify this NPI
- Provider Name
- STEPHANIE MENDOZA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6864 INDIANA AVE STE 104A RIVERSIDE, CA 92506
- Location Phone
- (909) 568-3956
- Mailing Address
- 6864 INDIANA AVE STE 104A RIVERSIDE, CA 92506
- Mailing Phone
- (909) 568-3956
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-16-2020
- Last Update Date
- 06-27-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- L9649
- License State
- CA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306444724, enumerated as an "individual" on October 16, 2020.
The provider is located at 6864 INDIANA AVE STE 104A RIVERSIDE, CA 92506 and the phone number is (909) 568-3956.
Specialist with taxonomy code 174400000X.
