Mr Ismael Mendoza, is a
Case Manager/care Coordinator based in Indio, California. Mr Ismael Mendoza is licensed to practice in * (Not Available) (license number ) and his current practice location is
44199 Monroe St Ste C, Indio, California. He can be reached at his office (for appointments etc.) via phone at
(760) 863-2578.
NPI number for Mr Ismael Mendoza is 1619342508 and his current mailing address is 52415 Avenida Herrera, La Quinta, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619342508.
Healthcare Provider's Profile
| Full Name | Mr Ismael Mendoza |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 44199 Monroe St Ste C, Indio, 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: 1619342508
- Provider Enumeration Date: 12/03/2015
- Last Update Date: 05/06/2024
Medical Identifiers
Medical identifiers for Mr Ismael Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619342508 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6427 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Mr Ismael 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 |
|---|
Mr Ismael Mendoza,
52415 Avenida Herrera,
La Quinta, CA 92253-3274
Ph: () - | Mr Ismael Mendoza,
44199 Monroe St Ste C,
Indio, CA 92201-3094
Ph: (760) 863-2578 |
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