MEDICARE: LIESL JOHNSON MESTRE MS

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
1	170300000X	Genetic Counselor (M.S.)

General Provider Information

NPI Number	:	1609846526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIESL JOHNSON MESTRE MS

Provider Business Mailing Address
First Line	:	1348 STANISLAUS DR
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91913-1402
Country	:	US
Telephone Number	:	619-397-5992
Fax Number	:

Provider Business Practice Location Address
First Line	:	RADY CHILDREN'S HOSPITAL AND HEALTH CENTER
Second Line	:	3020 CHILDREN'S WAY, MC 5031
City	:	SAN DIEGO
State	:	CA
Zip	:	92123
Country	:	US
Telephone Number	:	858-966-5840
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1437148319 — MS. DIANE SUZANNE MASSER-FRYE MS, MSW
Practice Location Address:

3020 CHILDRENS WAY , MC 5031
SAN DIEGO, CA
92123-4223

Practice Phone: 858-966-5840
Practice Fax: 858-966-8550

1710288485 — TARA SHORT
Practice Location Address:

7910 FROST ST STE 430
SAN DIEGO, CA
92123-2795

Practice Phone: 800-426-6467
Practice Fax:

1255728713 — SOPHIA CEULEMANS M.S
Practice Location Address:

7920 FROST ST , STE 200
SAN DIEGO, CA
92123-2736

Practice Phone: 858-966-8583
Practice Fax:

1932738648 — DIANA THAO PHAN SCM
Practice Location Address:

3075 HEALTH CENTER DR
SAN DIEGO, CA
92123-2773

Practice Phone: 858-939-5218
Practice Fax:

1710560727 — MADI BRAWER
Practice Location Address:

7910 FROST ST
SAN DIEGO, CA
92123-2771

Practice Phone: 858-966-6710
Practice Fax:

Directions to “ LIESL JOHNSON MESTRE MS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.