MEDICARE: ROSIO Y. 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
1	101YM0800X	Mental Health Counselor	71746	CA

General Provider Information

NPI Number	:	1467695676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSIO Y. MENDOZA

Provider Business Mailing Address
First Line	:	145 N N ST STE A
Second Line	:
City	:	TULARE
State	:	CA
Zip	:	93274-4249
Country	:	US
Telephone Number	:	559-687-8713
Fax Number	:	844-368-4079

Provider Business Practice Location Address
First Line	:	145 N N ST STE A
Second Line	:
City	:	TULARE
State	:	CA
Zip	:	93274-4249
Country	:	US
Telephone Number	:	559-687-8713
Fax Number	:	844-368-4079

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2009
Last Update Date	:	09/11/2025

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Directions to “ ROSIO Y. MENDOZA ” Practice Location

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