Mechoso, Diego

Mechoso, Diego is an sole proprietor health care provider with primary practice located at 15107 Vanowen St , Van Nuys CA 91405-4542. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Mechoso, Diego can be contacted via phone (818) 902-5771.

Contact Information

Primary practice address
15107 Vanowen St Van Nuys CA 91405-4542
Phone: (818) 902-5771
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X A84467 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A84467 California

Profile Details

NPI number 1124054689
LBN Legal business name Mechoso, Diego
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2006
Last updated Jan 5th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124054689 NPPES
California MEDICAID 00A844670

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