Healthcare Provider Details

I. General information

NPI: 1467752618
Provider Name (Legal Business Name): VERONICA ARVIZU-MENDOZA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VERONICA ARVIZU

II. Dates (important events)

Enumeration Date: 10/21/2010
Last Update Date: 10/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 W HAWTHORNE ST
FALLBROOK CA
92028-2053
US

IV. Provider business mailing address

401 N COAST HWY UNIT 204
OCEANSIDE CA
92054-2293
US

V. Phone/Fax

Practice location:
  • Phone: 760-731-3235
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: