Healthcare Provider Details

I. General information

NPI: 1013832484
Provider Name (Legal Business Name): CLAUDIA MENCHACA RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 W COURT ST
WOODLAND CA
95695-2913
US

IV. Provider business mailing address

3014 EPPERSON WAY
LIVE OAK CA
95953-2088
US

V. Phone/Fax

Practice location:
  • Phone: 530-661-4400
  • Fax: 530-554-1424
Mailing address:
  • Phone: 530-415-8227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number38246
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: