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NPI Code Detail

MEDICARE: ELIZABETH MERCADO

MEDICARE: ELIZABETH MERCADO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1225878465
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH MERCADO
Provider Business Mailing Address
First Line : 1731 E 120TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90059-3051
Country : US
Telephone Number : 323-563-4800
Fax Number : 719-888-1649
Provider Business Practice Location Address
First Line : 1731 E 120TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90059-3051
Country : US
Telephone Number : 323-563-9363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2024
Last Update Date : 01/14/2026

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Directions to “ ELIZABETH MERCADO ” Practice Location

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