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MELINDA DESIREE MENDOZA
NPI 1821794819
Counselor - Addiction (Substance Use Disorder) in San Pedro, CA

Active since February 01, 2023
505 S PACIFIC AVE # 150, SAN PEDRO, CA 90731(310) 833-7400(866) 404-2773 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melinda Desiree Mendoza NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELINDA DESIREE MENDOZA (NPI 1821794819) is an individual addiction (substance use disorder) provider in San Pedro, California, licensed in California (R1496290123) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1821794819
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMELINDA DESIREE MENDOZA
Location Address505 S PACIFIC AVE # 150San Pedro, CA 90731-2656
Mailing Address2033 S Crescent AveSan Pedro, CA 90731-5512 · (310) 519-8723 · Fax (310) 519-1309
Phone(310) 833-7400
Fax(866) 404-2773
Sole ProprietorNo
Enumeration DateFebruary 1, 2023
NPPES CertifiedFebruary 1, 2023
✔ NPI 1821794819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1496290123
505 S PACIFIC AVE # 150, San Pedro, CA 90731
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melinda Mendoza's NPI number?

The NPI number for Melinda Mendoza is 1821794819. It was assigned to this individual provider in the NPPES registry on February 1, 2023.

Where is Melinda Mendoza located?

Melinda Mendoza practices at 505 S Pacific Ave # 150, San Pedro, CA 90731. The listed phone number is (310) 833-7400.

What is Melinda Mendoza's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Melinda Mendoza was last updated on February 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.