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NPI Code Detail

MEDICARE: MARIA ANGELES MEJIA-NOVOA PA-C

MEDICARE:   MARIA ANGELES MEJIA-NOVOA  PA-C
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 Assistant13586CA

General Provider Information

NPI Number : 1932273968
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA ANGELES MEJIA-NOVOA PA-C
Provider Business Mailing Address
First Line : 7400 MULLER ST
Second Line :
City : DOWNEY
State : CA
Zip : 90241-2136
Country : US
Telephone Number : 562-897-1956
Fax Number : 562-291-2246
Provider Business Practice Location Address
First Line : 5425 POMONA BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90022-1716
Country : US
Telephone Number : 323-728-0411
Fax Number : 323-869-5362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2006
Last Update Date : 11/15/2011

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Directions to “ MARIA ANGELES MEJIA-NOVOA PA-C” Practice Location

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