MEDICARE: CYNTHIA YANINA MEJIA P.A.-C

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	207Q00000X	Family Medicine Physician	PA17479	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871602839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA YANINA MEJIA P.A.-C

Provider Business Mailing Address
First Line	:	14968 OAKBURY DR
Second Line	:
City	:	LA MIRADA
State	:	CA
Zip	:	90638-4531
Country	:	US
Telephone Number	:	818-523-2324
Fax Number	:

Provider Business Practice Location Address
First Line	:	1950 SUNNY CREST DR STE 2600
Second Line	:
City	:	FULLERTON
State	:	CA
Zip	:	92835-3644
Country	:	US
Telephone Number	:	714-446-5260
Fax Number	:

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	10/21/2020

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