Healthcare Provider Details

I. General information

NPI: 1669381844
Provider Name (Legal Business Name): MS. KIMBERLY BARRION MENDOZA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KIMBERLY PRECIOUS NICOLLE BARRION MENDOZA RPH

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

885 EUCLID AVE
NATIONAL CITY CA
91950-3862
US

IV. Provider business mailing address

885 EUCLID AVE
NATIONAL CITY CA
91950-3862
US

V. Phone/Fax

Practice location:
  • Phone: 619-267-9150
  • Fax:
Mailing address:
  • Phone: 619-257-1950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number92026
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: