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NPI Code Detail

MEDICARE: DIANNE MENDOZA

MEDICARE: DIANNE 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
1103TS0200XSchool Psychologist

General Provider Information

NPI Number : 1912857129
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANNE MENDOZA
Provider Business Mailing Address
First Line : 19722 COLLIER ST
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91364-3618
Country : US
Telephone Number : 818-346-5100
Fax Number :
Provider Business Practice Location Address
First Line : 19722 COLLIER ST
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91364-3618
Country : US
Telephone Number : 818-346-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2026
Last Update Date : 01/29/2026

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Directions to “ DIANNE MENDOZA ” Practice Location

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