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NPI Code Detail

MEDICARE: MARIA DE LOS ANGELES HERNANDEZ MENDOZA

MEDICARE:   MARIA DE LOS ANGELES HERNANDEZ 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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1992638753
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA DE LOS ANGELES HERNANDEZ MENDOZA
Provider Business Mailing Address
First Line : 1835 ALLSTON WAY
Second Line :
City : BERKELEY
State : CA
Zip : 94703-1764
Country : US
Telephone Number : 510-666-9552
Fax Number : 510-666-9552
Provider Business Practice Location Address
First Line : 1835 ALLSTON WAY
Second Line :
City : BERKELEY
State : CA
Zip : 94703-1764
Country : US
Telephone Number : 510-666-9552
Fax Number : 510-666-9552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ MARIA DE LOS ANGELES HERNANDEZ MENDOZA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.