Individual
DR. GEORGE JESUS MEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W., PH.D.
Contact information
Practice address
14623 HAWTHORNE BLVD STE 406, LAWNDALE, CA 90260-1595
(310) 978-9495
(310) 978-9495
Mailing address
PO BOX 97, LAWNDALE, CA 90260-0097
(310) 978-9495
(310) 978-0978
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY28943
CA
1041C0700X
Clinical Social Worker
LCS16305
CA
Other
Enumeration date
03/09/2007
Last updated
01/02/2019
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