MEDICARE: ZULEYMA MENDEZ

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	106H00000X	Marriage & Family Therapist	101122	CA
2	106H00000X	Marriage & Family Therapist		CA
3	106H00000X	Marriage & Family Therapist	124162	CA

General Provider Information

NPI Number	:	1700396702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZULEYMA MENDEZ

Provider Business Mailing Address
First Line	:	1514 W METZ RD
Second Line	:
City	:	PERRIS
State	:	CA
Zip	:	92570-6468
Country	:	US
Telephone Number	:	951-345-2086
Fax Number	:

Provider Business Practice Location Address
First Line	:	27261 LAS RAMBLAS STE 220
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-2496
Country	:	US
Telephone Number	:	909-790-1300
Fax Number	:

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

Provider Enumeration Date	:	10/04/2017
Last Update Date	:	02/15/2021

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Directions to “ ZULEYMA MENDEZ ” Practice Location

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