Individual
MATTHEW MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2110 E EL SEGUNDO BLVD STE 200, EL SEGUNDO, CA 90245-2743
(310) 517-7030
Mailing address
2110 E EL SEGUNDO BLVD STE 200, EL SEGUNDO, CA 90245-2743
(310) 517-7030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A152301
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A152301
CA
207X00000X
Orthopaedic Surgery Physician
A152301
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2016
Last updated
07/11/2022
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