Individual provider · Type 1 NPI

Kevin Rafael Mendoza

Student in an Organized Health Care Education/Training Program · San Fernando, CA

NPI number 1346977592 Active

Practice location

919 1st St
San Fernando, CA 91340-2957

Call (818) 832-2400 Map

Mailing address

38173 Nala Cir
Palmdale, CA 93552-3259

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346977592

Kevin Rafael Mendoza's National Provider Identifier is 1346977592, issued on Aug 5, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Fernando, CA. The record was last updated on Aug 5, 2022.