Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eder Mondragon Mares, BA

Individual provider Rehabilitation Practitioner · NPI 1639678584

Eder Mondragon Mares, BA is a Rehabilitation Practitioner in Fountain Valley, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

16580 Harbor Blvd Ste M
Fountain Valley, CA 92708-1385
Phone: (949) 250-0488
Fax: (714) 540-1908
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)

Record details

NPI number1639678584
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorNo
NPI enumeratedFebruary 6, 2018
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

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