Edmund Mendoza, is a
Case Manager/care Coordinator based in Fresno, California. Edmund Mendoza is licensed to practice in California (license number ) and his current practice location is
4411 E Kings Canyon Rd, Fresno, California. He can be reached at his office (for appointments etc.) via phone at
(559) 453-6271.
NPI number for Edmund Mendoza is 1700025855 and his current mailing address is 4411 E Kings Canyon Rd, Fresno, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700025855.
Healthcare Provider's Profile
| Full Name | Edmund Mendoza |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 4411 E Kings Canyon Rd, Fresno, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700025855
- Provider Enumeration Date: 02/12/2009
- Last Update Date: 07/30/2009
Medical Identifiers
Medical identifiers for Edmund Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700025855 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edmund Mendoza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Edmund Mendoza,
4411 E Kings Canyon Rd,
Fresno, CA 93702-3604
Ph: (559) 453-6271 | Edmund Mendoza,
4411 E Kings Canyon Rd,
Fresno, CA 93702-3604
Ph: (559) 453-6271 |
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