| Gina Mendez A Licensed Clinical Social Worker P.c. | |
|
31045 Temecula Pkwy Ste 115 Temecula CA 92592-3085 | |
| (951) 963-7445 | |
| Not Available |
| Full Name | Gina Mendez A Licensed Clinical Social Worker P.c. |
|---|---|
| Speciality | Social Worker |
| Location | 31045 Temecula Pkwy Ste 115, Temecula, California |
| Authorized Official Name and Position | Gina Mendez (LCSW) |
| Authorized Official Contact | 9518554967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Mendez A Licensed Clinical Social Worker P.c. 31045 Temecula Pkwy Temecula CA 92592-3085 Ph: (951) 963-7445 | Gina Mendez A Licensed Clinical Social Worker P.c. 31045 Temecula Pkwy Ste 115 Temecula CA 92592-3085 Ph: (951) 963-7445 |
| NPI Number | 1740813799 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 11/14/2023 |
| Certification Date | 11/14/2023 |
| Medicare PECOS PAC ID | 4789096116 |
|---|---|
| Medicare Enrollment ID | O20230712002709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740813799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gina Mendez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417278706 PECOS PAC ID: 6305258740 Enrollment ID: I20230802001681 |
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