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NPI Code Detail

MEDICARE: DAVID MEACHAM PA

MEDICARE: DAVID MEACHAM PA
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
1363A00000XPhysician AssistantPA14897CA

General Provider Information

NPI Number : 1861548786
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID MEACHAM PA
Provider Business Mailing Address
First Line : 818 W ALONDRA BLVD
Second Line :
City : COMPTON
State : CA
Zip : 90220-3500
Country : US
Telephone Number : 310-537-1337
Fax Number :
Provider Business Practice Location Address
First Line : 818 W ALONDRA BLVD
Second Line :
City : COMPTON
State : CA
Zip : 90220-3500
Country : US
Telephone Number : 310-537-1337
Fax Number : 310-764-1011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2007
Last Update Date : 12/01/2011

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Directions to “ DAVID MEACHAM PA” Practice Location

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