Individual provider · Type 1 NPI

Kiana Leeann Mendivil

Rehabilitation Practitioner · San Jose, CA

NPI number 1902679285 Active

Practice location

298 Bernal Rd
San Jose, CA 95119-1809

Call (408) 370-8922 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Counselor 101Y00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1902679285

Kiana Leeann Mendivil's National Provider Identifier is 1902679285, issued on Oct 30, 2023. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Jose, CA. The record was last updated on Jun 30, 2025.