Individual ProviderGary Paul MendozaMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5212 Katella Ave Ste 101, Los Alamitos, CA 90720-2830(714) 679-1635PECOS EnrollmentBased on the most recent information from CMS, provider Gary Paul Mendoza does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1023115185Provider TypeIndividualFull NameMendoza, Gary PaulCredentialMA, LMFTGenderMaleSole ProprietorNoEnumeration Date9/20/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address5212 Katella Ave Ste 101, Los Alamitos, CA 90720-2830Phone(714) 679-1635Fax(714) 505-6097Mailing LocationMailing Address5212 Katella Ave Ste 101, Los Alamitos, CA 90720-2830Phone(714) 679-1635Fax(714) 505-6097Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC36995California