Healthcare Provider Details

I. General information

NPI: 1699602011
Provider Name (Legal Business Name): KEVIN WILLARD MESCHER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23521 PASEO DE VALENCIA STE B5
LAGUNA HILLS CA
92653-3125
US

IV. Provider business mailing address

23521 PASEO DE VALENCIA STE B5
LAGUNA HILLS CA
92653-3125
US

V. Phone/Fax

Practice location:
  • Phone: 949-540-0170
  • Fax: 949-540-0173
Mailing address:
  • Phone: 949-540-0170
  • Fax: 949-540-0173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: