Individual provider · Type 1 NPI

Tracy Kim Mendoza

Licensed Psychiatric Technician · Los Angeles, CA

NPI number 1255877437 Active

Practice location

12021 Wilmington Ave
Los Angeles, CA 90059-3019

Call (310) 221-6336 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT34003 (CA)

Licensed Psychiatric Technician: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental dis…

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About NPI 1255877437

Tracy Kim Mendoza's National Provider Identifier is 1255877437, issued on Jan 12, 2017. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 22, 2024.