Mendoza, Elaine
Mendoza, Elaine is an individual health care provider with primary practice located at 3316 W Beverly Blvd , Montebello CA 90640-1537. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mendoza, Elaine can be contacted via phone (323) 722-4529.Contact Information
Primary practice address
3316 W Beverly Blvd
Montebello CA 90640-1537
Phone: (323) 722-4529
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | California |
Profile Details
| NPI number | 1184094211 |
|---|---|
| LBN Legal business name | Mendoza, Elaine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 1st, 2015 |
| Last updated | Oct 1st, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184094211 | NPPES |
| California | Other | 02768010 | DRUG MEDI-CAL |
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