Individual provider · Type 1 NPI

Jose Mendoza

Peer Specialist · Canoga Park, CA

NPI number 1164779153 Active

Practice location

6800 Owensmouth Ave Ste 160
Canoga Park, CA 91303-4255

Call (747) 292-3136 Map

Mailing address

655 Maple Ave
Los Angeles, CA 90014-2211

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist 373H00000XNone listed
Peer Specialist Primary 175T00000XMPSS-DAQXNF (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1164779153

Jose Mendoza's National Provider Identifier is 1164779153, issued on Aug 8, 2012. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Canoga Park, CA. The record was last updated on Apr 15, 2026.