Healthcare Provider Details

I. General information

NPI: 1013878156
Provider Name (Legal Business Name): DAVID MICHEL MEJIA CASE MANAGEMENT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1563 MISSION ST FL 5
SAN FRANCISCO CA
94103-2543
US

IV. Provider business mailing address

1563 MISSION ST FL 5
SAN FRANCISCO CA
94103-2543
US

V. Phone/Fax

Practice location:
  • Phone: 800-200-7181
  • Fax: 415-795-4797
Mailing address:
  • Phone: 800-200-7181
  • Fax: 415-795-4797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: