Individual
DR. TIMOTHY MESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15243 VANOWEN ST, SUITE 406, VAN NUYS, CA 91405-3605
(818) 782-5450
(818) 780-4271
Mailing address
PO BOX 5608, VAN NUYS, CA 91413-5608
(818) 782-5450
(818) 780-4271
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G46553
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G46553
MEDICARE, PTAN
CA
Enumeration date
01/23/2006
Last updated
01/29/2008
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