Organization
DUVAN MEJIA M,D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUVAN MEJIA M.D (PRESIDENT)
(323) 582-1780
Entity
Organization
Contact information
Practice address
2700 E SLAUSON AVE, SUITE 301, HUNTINGTON PARK, CA 90255-3000
(323) 582-1780
(323) 582-6271
Mailing address
2700 E SLAUSON AVE, SUITE 301, HUNTINGTON PARK, CA 90255-3000
(323) 582-1780
(323) 582-6271
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A29590
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A295901
—
CA
Enumeration date
08/06/2007
Last updated
08/06/2007
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