Individual provider · Type 1 NPI

Jesus Eduardo Duarte Mendoza

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

NPI number 1669193983 Active

Practice location

480 Alta Rd
San Diego, CA 92179-0001

Call (619) 661-6500 Map

Mailing address

2815 N Main St
Los Angeles, CA 90031-3322

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Mental Health Counselor 101YM0800XNone 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 1669193983

Jesus Eduardo Duarte Mendoza's National Provider Identifier is 1669193983, issued on Sep 6, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Jun 30, 2025.