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Michael Anthony Mendez
Peer Specialist in Costa Mesa, California
NPI 1013394303

Michael Anthony Mendez is a Peer Specialist based in Costa Mesa, CA. Michael Anthony Mendez practices in Costa Mesa, CA. The NPI Number for Michael Anthony Mendez is 1013394303 and holds a License No. (California).

The current practice location address for Michael Anthony Mendez is 420 W 19Th St, Costa Mesa, CA and can be reached out via phone at 949-646-9226.

Location: 420 W 19Th St, Costa Mesa, CA, 92627-2026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013394303
Provider Name
Michael Anthony Mendez
Credential
Provider Entity Type
Individual
Gender
Male
Address
420 W 19Th St, Costa Mesa, CA, 92627-2026
Phone Number
949-646-9226
Fax Number
Provider Enumeration Date
05/06/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A9107687 01 CA MENTAL HEALTH ASSOCIATION
institution
Provider Business Practice Location Address Details
Address
420 W 19Th St
City
Costa Mesa
State
California
Zip
92627-2026
Phone Number
949-646-9226
Fax Number
person
Provider Business Mailing Address Details
Address
420 W 19Th St
City
Costa Mesa
State
California
Zip
92627-2026
Phone Number
949-646-9226
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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