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NPI Code Detail

MEDICARE: JOHN VIRGIL MESIA

MEDICARE:   JOHN VIRGIL  MESIA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse95262116CA

General Provider Information

NPI Number : 1235893835
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN VIRGIL MESIA
Provider Business Mailing Address
First Line : 1003 PEBBLE BAY
Second Line :
City : HERCULES
State : CA
Zip : 94547-2639
Country : US
Telephone Number : 707-315-3629
Fax Number :
Provider Business Practice Location Address
First Line : 11450 SAN PABLO AVE
Second Line :
City : EL CERRITO
State : CA
Zip : 94530-1917
Country : US
Telephone Number : 510-233-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2021
Last Update Date : 10/29/2021

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Directions to “ JOHN VIRGIL MESIA ” Practice Location

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