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NPI Code Detail

MEDICARE: ALEJANDRA MENDOZA

MEDICARE: ALEJANDRA MENDOZA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1124771761
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEJANDRA MENDOZA
Provider Business Mailing Address
First Line : 10136 CAMINO DE ROSA
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-1639
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1313 CHICAGO AVE STE 200
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-2087
Country : US
Telephone Number : 949-630-8290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2022
Last Update Date : 01/07/2026

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Directions to “ ALEJANDRA MENDOZA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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