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Organization

MELA COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUAN JOSE MEZA (PROGRAM COORDINATOR)
(323) 728-0100
Entity
Organization

Contact information

Practice address
3838 KEYSTONE AVE APT 8, CULVER CITY, CA 90232-3331
(323) 338-9801
Mailing address
5723 WHITTIER BLVD, LOS ANGELES, CA 90022-4222
(323) 721-6855

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
190713AN
CA

Other

Enumeration date
09/15/2015
Last updated
09/15/2015
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