Healthcare Provider Details

I. General information

NPI: 1467378943
Provider Name (Legal Business Name): ERICKA MEJIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

381 VAN NESS AVE STE 1506
TORRANCE CA
90501-7219
US

IV. Provider business mailing address

3607 FASHION AVE
LONG BEACH CA
90810-2229
US

V. Phone/Fax

Practice location:
  • Phone: 310-783-7450
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number189371
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: