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NPI Code Detail

MEDICARE: RICARDO MEJIA

MEDICARE: RICARDO 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

General Provider Information

NPI Number : 1184808693
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICARDO MEJIA
Provider Business Mailing Address
First Line : 201 BERKELEY AVE
Second Line :
City : ROSEVILLE
State : CA
Zip : 95678-2205
Country : US
Telephone Number : 916-780-3285
Fax Number :
Provider Business Practice Location Address
First Line : 201 BERKELEY AVE
Second Line :
City : ROSEVILLE
State : CA
Zip : 95678-2205
Country : US
Telephone Number : 916-780-3285
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2007
Last Update Date : 09/29/2023

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Directions to “ RICARDO MEJIA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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