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

Tracy Kim Mendoza

Individual provider Licensed Psychiatric Technician · NPI 1255877437

Tracy Kim Mendoza is a Licensed Psychiatric Technician in Los Angeles, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

12021 Wilmington Ave
Los Angeles, CA 90059-3019
Phone: (310) 221-6336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence PT34003 (CA)

Record details

NPI number1255877437
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 12, 2017
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024

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