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NPI Code Detail

MEDICARE: CAMILLE JOY REYES MENDOZA

MEDICARE:   CAMILLE JOY REYES 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
1183500000XPharmacist91817CA

General Provider Information

NPI Number : 1952263451
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMILLE JOY REYES MENDOZA
Provider Business Mailing Address
First Line : 6203 VARNEY DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92114-6826
Country : US
Telephone Number : 619-301-2132
Fax Number :
Provider Business Practice Location Address
First Line : 5 CENTERPOINTE DR
Second Line :
City : LA PALMA
State : CA
Zip : 90623-1050
Country : US
Telephone Number : 800-964-2068
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ CAMILLE JOY REYES MENDOZA ” Practice Location

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