Individual ProviderJonathan MendezCounselorBehavioral Health & Social Service ProvidersPractice Address222 N Mountain Ave Ste 110b, Upland, CA 91786-5714(909) 303-2505PECOS EnrollmentBased on the most recent information from CMS, provider Jonathan Mendez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1881101558Provider TypeIndividualFull NameMendez, JonathanGenderMaleSole ProprietorYesEnumeration Date1/4/2018Last Updated1/4/2018Contact InformationPractice LocationPractice Address222 N Mountain Ave Ste 110b, Upland, CA 91786-5714Phone(909) 303-2505FaxUnlisted FaxMailing LocationMailing Address27261 Las Ramblas Ste 220, Mission Viejo, CA 92691-6468PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer