| Doctor Name: | MICHELLE MENDOZA |
| NPI Number: | 1043609787 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | ASW63126 |
| Business Practice Address: | 21520 Pioneer Blvd Ste 110 Hawaiian Gardens, CA - 907162604 |
| Business Phone Number: | 5628653644 |
| Business Fax Number: | |
| Mailing Address: | 2410 W Saint Gertrude Pl, SANTA ANA |
| State: | CA |
| Postal Code: | 927044647 |
| Phone Number: | 5628653644 |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2015 |
| NPI Last Update Date: | 01/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | ASW63126 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |