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1053889063
LUIS MENDOZA
SANTA MONICA, CA
NPI
1053889063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-11-07
Last Update Date
2018-11-07
Business Address
LUIS MENDOZA
905 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number: 310-314-6200
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Mailing Address
LUIS MENDOZA
11117 LOUISE AVE
LYNWOOD, CA 90262-3109
Phone number: 310-314-6200
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