Individual
MR. DAVID MESA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1104 S GARFIELD AVE STE A, ALHAMBRA, CA 91801-7803
(626) 872-2899
(626) 872-2892
Mailing address
1104 S GARFIELD AVE STE A, ALHAMBRA, CA 91801-7803
(626) 872-2899
(626) 872-2892
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
05D2065387
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2065387
STATE LABORATORY LICENSE
CA
Enumeration date
05/06/2014
Last updated
05/06/2014
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