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NPI Code Detail

MEDICARE: MR. ERNEST RITUALO MEJIA P.A.

MEDICARE: MR. ERNEST RITUALO MEJIA P.A.
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
1363AM0700XMedical Physician Assistant53105CA

General Provider Information

NPI Number : 1407211881
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ERNEST RITUALO MEJIA P.A.
Provider Business Mailing Address
First Line : 22 W 35TH ST STE 101
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-7926
Country : US
Telephone Number : 619-427-3361
Fax Number :
Provider Business Practice Location Address
First Line : 22 W 35TH ST STE 101
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-7926
Country : US
Telephone Number : 619-427-3361
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2015
Last Update Date : 04/17/2024

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