Jaime Alberto Mendoza in Los Angeles - Clinical
Jaime Alberto Mendoza - NPI 1902092745
Jaime Alberto Mendoza is a Clinical in Los Angeles, California. Jaime Alberto Mendoza practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jaime Alberto Mendoza is 1902092745. The last update date is 2007-09-14.
Jaime Alberto Mendoza's current location address is 439 W 97th St, Los Angeles, California. You can contact this provider via phone number 3237542856 and fax number 3237541843. The mailing address for Jaime Alberto Mendoza is 439 W 97th St, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaime Alberto Mendoza |
|---|---|
| Address | 439 W 97th St, Los Angeles, California |
| Phone Number | 3237542856 |
| Fax Number | 3237541843 |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1902092745 |
|---|---|
| Provider Enumeration Date | 2007-09-14 |
| Last Updated Date | 2007-09-14 |
Provider Mailing Address Detail
| Address | 439 W 97th St |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900033968 |
| Phone Number | 3237542856 |
| Fax Number | 3237541843 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | ASW19277 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to Jaime Alberto Mendoza by the Centers for Medicare & Medicaid Services (CMS)?
The Jaime Alberto Mendoza has been assigned the NPI (National Provider Identifier) 1902092745. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jaime Alberto Mendoza?
The Jaime Alberto Mendoza is physically situated at 439 W 97Th St, in the city of Los Angeles, state of CA, with the postal code 900033968.
What is the area of specialization for Jaime Alberto Mendoza, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jaime Alberto Mendoza is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902092745 to Jaime Alberto Mendoza?
The Centers for Medicare & Medicaid Services originally issued the 1902092745 to Jaime Alberto Mendoza on 2007-09-14.
As of what date were the Jaime Alberto Mendoza's details last updated?
The information pertaining to the Jaime Alberto Mendoza, including its address, specialty, and other details, was most recently updated on 2007-09-14.
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