Individual
LUIS MERIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1000
Mailing address
3285 LAVAL LN, RIVERSIDE, CA 92503-8901
(562) 319-3037
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95172512
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95172512
CA
Other
Enumeration date
08/12/2024
Last updated
11/25/2025
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