Individual
ARCHIE MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT 36145
CA
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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