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NPI 1568196095

NPI 1568196095 : Z PSYCHOLOGY INC : RANCHO CUCAMONGA, CA

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General NPI Number Information
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    NPI Number           |    1568196095
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    Entity Type          |    Organization 
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    Legal Business Name  |    Z PSYCHOLOGY INC 
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Dates
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    Enumeration Date     |    07/11/2022
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    Last Update Date     |    08/07/2022
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Provider Practice Location Address
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    Address Line         |    8300 UTICA AVE STE 245 
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    City                 |    RANCHO CUCAMONGA
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    State                |    CA
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    Zip                  |    91730-3852
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    Country              |    US
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    Telephone            |    323-455-4343
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2910 S. ARCHIBALD AVE A #246
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    City                 |    ONTARIO
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    State                |    CA
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    Zip                  |    91761-0348
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    Country              |    US
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    Telephone            |    323-455-4343
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    Fax                  |    323-544-6799
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Authorized Official
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    Title or Position    |    PRESIDENT/OWNER
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    Name                 |    DR. ZYANYA  MENDOZA 
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    Credential           |    PSYD
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    Telephone            |    323-455-4343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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