Individual ProviderFrida-Sofia MendozaBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4719 Viewridge Ave #100, San Diego, CA 92123(866) 727-8274PECOS EnrollmentBased on the most recent information from CMS, provider Frida-Sofia 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 12:57 PM.Profile DetailsProvider ID1972325504Provider TypeIndividualFull NameMendoza, Frida-SofiaGenderFemaleSole ProprietorNoEnumeration Date10/25/2024Last Updated10/25/2024Contact InformationPractice LocationPractice Address4719 Viewridge Ave #100, San Diego, CA 92123Phone(866) 727-8274FaxUnlisted FaxMailing LocationMailing Address2550 N Hollywood Way Suite 301, Burbank, CA 91505Phone(866) 727-8274FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer