Provider Demographics
NPI:1881407013
Name:MENDOZA CHIROPRACTIC INC.
Entity type:Organization
Organization Name:MENDOZA CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RHEAN HEATHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:MENDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-905-3351
Mailing Address - Street 1:2005 DE LA CRUZ BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-3026
Mailing Address - Country:US
Mailing Address - Phone:408-905-3351
Mailing Address - Fax:
Practice Address - Street 1:2005 DE LA CRUZ BLVD STE 235
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-3026
Practice Address - Country:US
Practice Address - Phone:408-905-3351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty