| Cordilleras | |
|
200 Edmonds Rd Redwood City CA 94062-3813 | |
| (650) 367-1890 | |
| Not Available |
| Full Name | Cordilleras |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 200 Edmonds Rd, Redwood City, California |
| Authorized Official Name and Position | Marianne B Mendoza (RESIDENTIAL SOCIAL WORKER) |
| Authorized Official Contact | 6503671890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cordilleras 200 Edmonds Rd Redwood City CA 94062-3813 Ph: (650) 367-1890 | Cordilleras 200 Edmonds Rd Redwood City CA 94062-3813 Ph: (650) 367-1890 |
| NPI Number | 1033699772 |
|---|---|
| Provider Enumeration Date | 08/21/2018 |
| Last Update Date | 08/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033699772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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