Individual
LILANDRA MESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10559 JEFFERSON BLVD STE ADE, CULVER CITY, CA 90232-3526
(310) 785-2121
Mailing address
10549 JEFFERSON BLVD, CULVER CITY, CA 90232-3513
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
09/27/2023
Last updated
07/15/2025
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