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

Jorge Camilo Mendez Vides

Individual provider Basic Emergency Medical Technician · NPI 1679231807

Jorge Camilo Mendez Vides is a Basic Emergency Medical Technician in Tarzana, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

18321 Clark St
Tarzana, CA 91356-3501
Phone: (818) 708-5172
Show map & directions

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

Specialties & licences

Basic Emergency Medical Technician (primary) Taxonomy 146N00000X · Licence E144860 (CA)

Record details

NPI number1679231807
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 6, 2021
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021