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NPI Code Detail

MEDICARE: MISS PATRICIA DEL CARMEN MEJIA MA

MEDICARE: MISS PATRICIA DEL CARMEN MEJIA MA
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
1106H00000XMarriage & Family TherapistMFC 45520CA

General Provider Information

NPI Number : 1720119878
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS PATRICIA DEL CARMEN MEJIA MA
Provider Business Mailing Address
First Line : 7825 WHITE OAK AVE
Second Line :
City : RESEDA
State : CA
Zip : 91335-2223
Country : US
Telephone Number : 818-470-6086
Fax Number :
Provider Business Practice Location Address
First Line : 1721 GRIFFIN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90031-3312
Country : US
Telephone Number : 323-221-5375
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 12/05/2011

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Directions to “ MISS PATRICIA DEL CARMEN MEJIA MA” Practice Location

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