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NPI Code Detail

MEDICARE: JESSICA MEJIA

MEDICARE: JESSICA MEJIA
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
1172V00000XCommunity Health Worker
2373H00000XDay Training/Habilitation SpecialistCA
3171M00000XCase Manager/Care CoordinatorCA

General Provider Information

NPI Number : 1104486786
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA MEJIA
Provider Business Mailing Address
First Line : 4211 AVALON BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90011-5622
Country : US
Telephone Number : 323-233-0425
Fax Number : 323-232-2366
Provider Business Practice Location Address
First Line : 4211 AVALON BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90011-5622
Country : US
Telephone Number : 323-233-0425
Fax Number : 323-232-2366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2019
Last Update Date : 06/04/2026

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Directions to “ JESSICA MEJIA ” Practice Location

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