Most Relevant Information
Provider Data
| NPI Number: | 1003279787 |
| Provider Name: | MARVIN MENDIOLA |
| Entity Type: | Individual |
| Taxonomy Code: | 225400000X |
| Specialty: | Rehabilitation Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/31/2016 |
| Last Updated: | 04/05/2018 |
Provider Practice Location
CRITTENTON SERVICES 801 E. CHAPMAN AVENUE
FULLERTON
CA
928313839
Practice Location Phone/Fax
| Phone: | 7146809000 |
| Fax: | 7146808233 |
Provider Mailing Location
PO BOX 919
FULLERTON
CA
928360919
Provider Mailing Phone/Fax
| Phone: | 7146809000 |
| Fax: | 7146808233 |