Crystal Dianna Mendoza Hurtado, LCSW is a
Social Worker - Clinical based in Long Beach, California. Crystal Dianna Mendoza Hurtado is licensed to practice in California (license number LCSW118803) and her current practice location is
4500 E Pacific Coast Hwy Ste 100, Long Beach, California. She can be reached at her office (for appointments etc.) via phone at
(562) 344-1140.
NPI number for Crystal Dianna Mendoza Hurtado is 1902409493 and her current mailing address is 4500 E Pacific Coast Hwy Ste 100, Long Beach, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902409493.
Healthcare Provider's Profile
Full Name | Crystal Dianna Mendoza Hurtado |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4500 E Pacific Coast Hwy Ste 100, Long Beach, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902409493
- Provider Enumeration Date: 11/18/2020
- Last Update Date: 01/15/2025
Medical Identifiers
Medical identifiers for Crystal Dianna Mendoza Hurtado such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902409493 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 98041 (California) | Secondary |
104100000X | Social Worker | 98041 (California) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW118803 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Dianna Mendoza Hurtado is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Crystal Dianna Mendoza Hurtado, LCSW 4500 E Pacific Coast Hwy Ste 100, Long Beach, CA 90804-3233 Ph: (562) 344-1140 | Crystal Dianna Mendoza Hurtado, LCSW 4500 E Pacific Coast Hwy Ste 100, Long Beach, CA 90804-3233 Ph: (562) 344-1140 |
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