Individual provider · Type 1 NPI

Richard Mendoza

Mental Health Counselor · Costa Mesa, CA

NPI number 1780141820 Active · reactivated Sep 3, 2024

Practice location

3187 Airway Ave Ste A
Costa Mesa, CA 92626-4603

Call (714) 881-0427 Map

Fax (714) 327-0673

Mailing address

415 Neponset Ave Ste 3
Dorchester, MA 02122-3169

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Behavior Analyst 103K00000XNone listed

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About NPI 1780141820

Richard Mendoza's National Provider Identifier is 1780141820, issued on Feb 25, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Costa Mesa, CA. The record was last updated on Sep 3, 2024.