Daniel Mejia, | |
18302 Irvine Blvd, Suite 300, Tustin, CA 92780-3435 | |
(714) 617-2853 | |
Not Available |
Full Name | Daniel Mejia |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 18302 Irvine Blvd, Tustin, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164563490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Daniel Mejia, 2275 Arlington Dr, San Leandro, CA 94578-1132 Ph: (510) 317-1444 | Daniel Mejia, 18302 Irvine Blvd, Suite 300, Tustin, CA 92780-3435 Ph: (714) 617-2853 |
Mrs. Marie Moore, MA, MFTI Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 W Main St Ste 101, Tustin, CA 92780 Phone: 949-328-4110 | |
Gladys Gloria Yanez, MH Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 S A St, Tustin, CA 92780 Phone: 714-573-1567 | |
Karla Torres, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 18302 Irvine Blvd, Tustin, CA 92780 Phone: 714-881-8611 Fax: 714-432-8261 | |
Tina Keith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18302 Irvine Blvd, Ste 300, Tustin, CA 92780 Phone: 714-957-1004 | |
Kasey Mckay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18302 Irvine Blvd Ste 300, Tustin, CA 92780 Phone: 714-957-1004 | |
Dr. Rannia Brown, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 15405 Lansdowne Rd Ste C, Tustin, CA 92782 Phone: 714-258-7710 | |
Jamie Sinnott, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 18302 Irvine Blvd, #300, Tustin, CA 92780 Phone: 714-957-1004 |