Individual provider · Type 1 NPI

Ecstassy N. Mendoza

Student in an Organized Health Care Education/Training Program · Jurupa Valley, CA

NPI number 1619744935 Active

Practice location

3924 Riverview Dr
Jurupa Valley, CA 92509-6611

Call (951) 360-4175 Map

Mailing address

9890 County Farm Rd # R
Riverside, CA 92503-3678

Other practice locations

  • 9890 County Farm Rd Ste 3, Riverside, CA 92503-3678 · (951) 509-8320

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
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 1619744935

Ecstassy N. Mendoza's National Provider Identifier is 1619744935, issued on Dec 6, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jurupa Valley, CA. The record was last updated on Apr 22, 2025.