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NPI Code Detail

MEDICARE: FERNANDO MESINA

MEDICARE:   FERNANDO  MESINA
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
1101YM0800XMental Health Counselor
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1831569250
Entity Type Code : Individual
Provider Name (Legal Business Name) : FERNANDO MESINA
Provider Business Mailing Address
First Line : 1301 E ORANGEWOOD AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-6807
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1301 E ORANGEWOOD AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-6807
Country : US
Telephone Number : 800-249-1266
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2015
Last Update Date : 02/19/2021

Similar Medicare Providers

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Directions to “ FERNANDO MESINA ” Practice Location

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