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NPI Code Detail

MEDICARE: BRENDA LYN MENDOZA

MEDICARE: BRENDA LYN 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
1106H00000XMarriage & Family TherapistCA

General Provider Information

NPI Number : 1184577918
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA LYN MENDOZA
Provider Business Mailing Address
First Line : 26388 TWIN PINES ST
Second Line :
City : MENIFEE
State : CA
Zip : 92584-4926
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 29970 TECHNOLOGY DR STE 212
Second Line :
City : MURRIETA
State : CA
Zip : 92563-2649
Country : US
Telephone Number : 951-900-4414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2026
Last Update Date : 02/19/2026

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Directions to “ BRENDA LYN MENDOZA ” Practice Location

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