| Joseph Mendozza, Md Pc | |
|
4770 E Iliff Ave Suite 232 Denver CO 80222-6061 | |
| (303) 758-2500 | |
| (303) 757-7994 |
| Full Name | Joseph Mendozza, Md Pc |
|---|---|
| Speciality | Psychologist |
| Location | 4770 E Iliff Ave, Denver, Colorado |
| Authorized Official Name and Position | Joseph B Mendozza (PRESIDENT) |
| Authorized Official Contact | 3037582500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Mendozza, Md Pc 4770 E Iliff Ave Suite 232 Denver CO 80222-6061 Ph: (303) 758-2500 | Joseph Mendozza, Md Pc 4770 E Iliff Ave Suite 232 Denver CO 80222-6061 Ph: (303) 758-2500 |
| NPI Number | 1548696214 |
|---|---|
| Provider Enumeration Date | 09/25/2013 |
| Last Update Date | 09/25/2013 |
| Medicare PECOS PAC ID | 0345464491 |
|---|---|
| Medicare Enrollment ID | O20140612000373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548696214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0814X | Psychologist - Psychoanalysis | 19022 (Colorado) | Primary |
| Provider Name | Joseph B Mendozza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043352693 PECOS PAC ID: 5698999746 Enrollment ID: I20140612000553 |
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