| Doctor Name: | AGUEDA MENDOZA |
| NPI Number: | 1093900086 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | LCS 27975 |
| Business Practice Address: | 150 W 7th St San Pedro, CA - 907313320 |
| Business Phone Number: | 3105196100 |
| Business Fax Number: | |
| Mailing Address: | 1033 Bay View Ave, WILMINGTON |
| State: | CA |
| Postal Code: | 907443321 |
| Phone Number: | 3108306648 |
| Fax Number: | |
| NPI Enumeration Date: | 09/12/2007 |
| NPI Last Update Date: | 03/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS 27975 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |