Organization
MESA, MEDURI, & ANDERSON, L.L.C.
Active
Organization
MESA, MEDURI, & ANDERSON, L.L.C.
Active
Other names
The MMA Group
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN RAFAEL MESA (CO-FOUNDER/OWNER)
(917) 862-2250
Entity
Organization
Contact information
Practice address
2721 55TH AVE, OAKLAND, CA 94605-1105
(917) 862-2250
Mailing address
2721 55TH AVE, OAKLAND, CA 94605-1105
(917) 862-2250
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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