Individual ProviderJose Israel Glavey MendozaMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address44550 Village Ct Ste 103, Palm Desert, CA 92260-3817(951) 396-1395(760) 507-5502PECOS EnrollmentBased on the most recent information from CMS, provider Jose Israel Glavey 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 6 days ago.Profile DetailsProvider ID1376066936Provider TypeIndividualFull NameGlavey Mendoza, Jose IsraelGenderMaleSole ProprietorYesEnumeration Date7/25/2017Last Updated1/23/2024Contact InformationPractice LocationPractice Address44550 Village Ct Ste 103, Palm Desert, CA 92260-3817Phone(951) 396-1395FaxUnlisted FaxMailing LocationMailing Address44550 Village Ct Ste 103, Palm Desert, CA 92260-3817Phone(760) 507-5502FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense98030CaliforniaCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense13882California