Individual provider · Type 1 NPI

Luis Mendoza

Addiction (Substance Use Disorder) Counselor · Santa Monica, CA

NPI number 1053889063 Active

Practice location

905 Pico Blvd
Santa Monica, CA 90405-1326

Call (310) 314-6200 Map

Fax (310) 450-2024

Mailing address

11117 Louise Ave
Lynwood, CA 90262-3109

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053889063

Luis Mendoza's National Provider Identifier is 1053889063, issued on Nov 7, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Monica, CA. The record was last updated on Nov 7, 2018.